Douglas Gregory Tacket in Middlebury - Family Medicine
Douglas Gregory Tacket - NPI 1790764868
Douglas Gregory Tacket is a Family Medicine in Middlebury, Indiana. Douglas Gregory Tacket practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Douglas Gregory Tacket is 1790764868. The last update date is 2021-07-13.
Douglas Gregory Tacket's current location address is 206 W Warren St, Middlebury, Indiana. You can contact this provider via phone number 5748252146 and fax number 5745247435. The mailing address for Douglas Gregory Tacket is 206 W Warren St, Middlebury, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Gregory Tacket |
|---|---|
| Address | 206 W Warren St, Middlebury, Indiana |
| Phone Number | 5748252146 |
| Fax Number | 5745247435 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1790764868 |
|---|---|
| Provider Enumeration Date | 2006-01-17 |
| Last Updated Date | 2021-07-13 |
Provider Mailing Address Detail
| Address | 206 W Warren St |
|---|---|
| City | Middlebury |
| State | Indiana (IN) |
| Post Code | 465409410 |
| Phone Number | 5748252146 |
| Fax Number | 5745247435 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101012140 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 236040362 | IN | MEDICARE PTAN | |
| 300049695 | IN | -- | |
| 114560327 | MI | -- | |
| 851101104 | BCBS | ||
| 236040362 | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Douglas Gregory Tacket by the Centers for Medicare & Medicaid Services?
The Douglas Gregory Tacket has been assigned the NPI (National Provider Identifier) 1790764868 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Douglas Gregory Tacket?
The Douglas Gregory Tacket is situated at 206 W Warren St, in the city of Middlebury, state of IN, with the zip code 465409410.
What is Douglas Gregory Tacket's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Douglas Gregory Tacket is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Douglas Gregory Tacket receive the assignment of its 1790764868 from the Centers for Medicare & Medicaid Services?
The Douglas Gregory Tacket was issued its 1790764868 by the Centers for Medicare & Medicaid Services on 2006-01-17.
As of what date were the details pertaining to Douglas Gregory Tacket last refreshed?
The information related to the Douglas Gregory Tacket, including its address, specialty, and other relevant details, was last updated on 2021-07-13.