Thacker Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THACKER FAMILY PHYSICIANS

Practice address

1155 Main St
Milton, WV 25541-1217

Phone

(304) 743-8833

Fax

(304) 743-8834

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Wayne Thacker, MD

Title

President

Phone

(304) 743-8833

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730269101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MAIN ST",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255411217",
            "telephone_number": "304-743-8833",
            "fax_number": "304-743-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MAIN ST",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255411217",
            "telephone_number": "304-743-8833",
            "fax_number": "304-743-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THACKER FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-743-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205283000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053757000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053746000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth J Taylor
• William Taylor
• Tomia Teasley
• Kathy D Templeton
• Cynthia Terry
• Gabriel Thompson
• Michael A Thompson
• Corey Thornon
• Madison A Thornton
• Matthew C Thornton

• Family Medicine Physician in Milton, WV
• Providers in Milton, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.