Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles W Lackey, DO

Individual provider Specialist · NPI 1528016532

Dr. Charles W Lackey, DO is a Diagnostic Radiology in Newburgh, Indiana. Graduated from Rutgers New Jersey Medical School in 1997, 29 years ago. Practices with Summit Radiology P C, a 102-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
29
Trained at
Rutgers New Jersey Medical School
Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

100 St Marys Epworth Xing Ste A500
Newburgh, IN 47630-9698
Phone: (812) 471-1591
Fax: (812) 471-6650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 99025381A (IN)
Specialist Taxonomy 174400000X

Record details

NPI number1528016532
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESMay 29, 2019
Mailing addressPo Box 138, Evansville, IN 47701-0138

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Summit Radiology P C — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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