William Carl Thacker, M D

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD0000004219 Issued in TN

Practice address

209 N College St
Greeneville, TN 37745-5092

Phone

(423) 639-5781

Fax

(423) 639-2218

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Greeneville Pathology Associates, P C

  • Anatomic Pathology & Clinical Pathology Physician
  • Greeneville, TN
  • NPI 1912100918
  Authorized official Same address or phone

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639217516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N COLLEGE ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455092",
            "telephone_number": "423-639-5781",
            "fax_number": "423-639-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N COLLEGE ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455092",
            "telephone_number": "423-639-5781",
            "fax_number": "423-639-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "WILLIAM",
        "middle_name": "CARL",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD0000004219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Cancer Specialists PLLC
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #07738)
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #03791)
• Terry Graybeal (Greeneville Orthotics & Prosthetics)
• Jean L Terry, PH.D.
• Mari Katherine Thiede, MSN, BSN, RN
• David Scott Thomas, CO OTC
• Lauren Thomas
• Robert D. Thomas, M.D.
• Kelly Thomason

• Anatomic Pathology & Clinical Pathology Physician in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.