John Tkach MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOHN TKACH MD

Practice address

5 Lowell St
Suite 6
Calais, ME 04619-1712

Phone

(207) 454-3500

Fax

(207) 454-3503

NPI assigned

Dec 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Tkach, MDNPI 1063476422

Title

Owner and Provider

Phone

(207) 454-3501

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John S Tkach, MD

  • Internal Medicine Physician
  • Elko, NV
  • NPI 1063476422

  Internal Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1346309796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046190116",
            "telephone_number": "207-454-3500",
            "fax_number": "207-454-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LOWELL ST",
            "address_2": "SUITE 6",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191712",
            "telephone_number": "207-454-3500",
            "fax_number": "207-454-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN TKACH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "TKACH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER AND PROVIDER",
        "authorized_official_telephone_number": "207-454-3501",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G. Hodgkins, LCSW
• Allison Holmes, MHRT-CSP
• Susan B. Howland, BHP
• Elizabeth Mae Incannella, FNP
• Ruth Jahn
• Patricia Jollotta, LCPC
• Karen J Delaney DDS
• Katahdin Family Dental LLC
• Katharine Evans, LCSW
• Jennifer N Kehrer, OD

• All providers in Calais, ME
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.