Provider Demographics
NPI:1851437115
Name:LOCKEY, JAMES (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:LOCKEY
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Mailing Address - Street 2:3223 EDEN AVE., KETTERING LAB, ML 0056
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0001
Mailing Address - Country:US
Mailing Address - Phone:513-558-0030
Mailing Address - Fax:513-558-6272
Practice Address - Street 1:UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Practice Address - Street 2:3223 EDEN AVE., KETTERING LAB, ML 0056
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-0001
Practice Address - Country:US
Practice Address - Phone:513-558-0030
Practice Address - Fax:513-558-6272
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-4388L174400000X
KY33708174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA17135Medicare UPIN