Timothy Thacker, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

COA.00754-NA Issued in OH

Practice address

2951 Maple Avenue
Zanesville, OH 43701-1406

Phone

(740) 387-6193

Fax

(740) 387-6738

NPI assigned

Dec 14, 2005

Last updated

Jun 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians

Spine, LLCGroup PAC ID 1456503937, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Group Practice, Inc

  • Anesthesiology Physician
  • Montgomery, OH
  • NPI 1417951948

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Spine LLC

  • Pain Medicine (Anesthesiology) Physician
  • Gahanna, OH
  • NPI 1780987768
  Medicare reassignment Care Compare group
• Genesis Anesthesia Providers, LLC

  • Anesthesiology Physician
  • Zanesville, OH
  • NPI 1295205433
  Medicare reassignment NPD
• Insight Surgery & Laser Center, LLC

  dba Northpointe Anesthesia

  • Anesthesiology Physician
  • Zanesville, OH
  • NPI 1609076744
  Medicare reassignment NPD
• Ophthalmic Anesthesia Associates Inc

  • Anesthesiology Physician
  • Columbus, OH
  • NPI 1023069515
  Medicare reassignment NPD
• Genesis Medical Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Coshocton, OH
  • NPI 1144022187
  NPD (past)
• Insight Surgery & Laser Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Zanesville, OH
  • NPI 1093726309
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1437134376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BETHESDA DRIVE",
            "address_2": "200B",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011406",
            "telephone_number": "740-455-4937",
            "fax_number": "740-455-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 MAPLE AVENUE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011406",
            "telephone_number": "740-387-6193",
            "fax_number": "740-387-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "TIMOTHY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "139495",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.00754-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0852091",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kody Taylor
• Michele Taylor
• Naomi Taylor, AAS, QMHS
• Kira Techatanalai, MSW, LSW
• Kaleigh Elizabeth Temple
• Stephanie Jo Tharp, LDO
• The Carr Center
• The Carr Center
• The Center for Child&Family Development
• The Kroger Co (Kroger Pharmacy)

• Certified Registered Nurse Anesthetist in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.