DR. OTHO M. LACKEY M.D.
NPI 1710980073
Obstetrics & Gynecology in Newburgh, IN

Active since May 31, 2005
4199 GATEWAY BLVD, STE 2400, NEWBURGH, IN 47630(812) 858-4600(812) 858-4601 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Otho M. Lackey M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OTHO M. LACKEY M.D. (NPI 1710980073) is an individual obstetrics & gynecology provider in Newburgh, Indiana, licensed in Indiana (01029297A) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1710980073
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. OTHO M. LACKEYCredential: M.D.
Location Address4199 GATEWAY BLVD, STE 2400Newburgh, IN 47630-8954
Mailing Address4199 Gateway Blvd, Ste 2400Newburgh, IN 47630-8954 · (812) 858-4600 · Fax (812) 858-4601
Fax(812) 858-4601
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateJuly 24, 2007
NPI 1710980073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IN · 01029297A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4199 GATEWAY BLVD, Newburgh, IN 47630

Other Identifiers 2

Medicare ID-Type Unspecified637080Q
Medicare UPIND95662

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner (Neonatal)
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Registered Nurse
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Obstetrics & Gynecology (Reproductive Endocrinology)
4199 GATEWAY BLVD, SUITE 2600
NEWBURGH, IN 47630
Pediatrics (Neonatal-Perinatal Medicine)
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Obstetrics & Gynecology
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Obstetrics & Gynecology (Obstetrics)
4199 GATEWAY BLVD
NEWBURGH, IN 47630
Nurse Practitioner (Family)
4199 GATEWAY BLVD
NEWBURGH, IN 47630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otho Lackey's NPI number?

The NPI number for Otho Lackey is 1710980073. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Otho Lackey located?

Otho Lackey practices at 4199 Gateway Blvd Ste 2400, Newburgh, IN 47630. The listed phone number is (812) 858-4600.

What is Otho Lackey's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Otho Lackey was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.