Craig S. Thalacker in Medford - Emergency Medicine
Craig S. Thalacker - NPI 1558361378
Craig S. Thalacker is a Emergency Medicine in Medford, Oregon. Craig S. Thalacker practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Craig S. Thalacker is 1558361378. The last update date is 2011-01-15.
Craig S. Thalacker's current location address is 1111 Crater Lake Ave, Medford, Oregon. You can contact this provider via phone number 5147326440. The mailing address for Craig S. Thalacker is 1111 Crater Lake Ave, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig S. Thalacker |
|---|---|
| Address | 1111 Crater Lake Ave, Medford, Oregon |
| Phone Number | 5147326440 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558361378 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2011-01-15 |
Provider Mailing Address Detail
| Address | 1111 Crater Lake Ave |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975046241 |
| Phone Number | 5147326440 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | MD150996 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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What is the unique identifier code issued to Craig S. Thalacker by the Centers for Medicare & Medicaid Services?
The Craig S. Thalacker has been assigned the NPI (National Provider Identifier) 1558361378. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Craig S. Thalacker's physical address?
The Craig S. Thalacker is physically located at 1111 Crater Lake Ave, in the city of Medford, OR, with the postal code 975046241.
What is the Craig S. Thalacker's area of specialization and corresponding taxonomy classification?
The Craig S. Thalacker's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Craig S. Thalacker receive its 1558361378 assignment from the Centers for Medicare & Medicaid Services?
The Craig S. Thalacker was assigned its 1558361378 by the Centers for Medicare & Medicaid Services on 2005-07-22.
As of what date were the Craig S. Thalacker's details last updated?
The information pertaining to the Craig S. Thalacker, including its address, specialty, and other details, was most recently updated on 2011-01-15.