NPIMap

Organization Active NPI

Thacker Family Medical, PLLC

  • General Practice Physician
  • Pikeville, KY
National Provider Identifier
1841301520
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
38711 Issued in KY
Legal business name
THACKER FAMILY MEDICAL, PLLC
Practice address
189 Hibbard St
Pikeville, KY 41501-1754
Phone
(606) 432-0191
Fax
(606) 432-2028
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chadward L Thacker, MD
Title
Owner
Phone
(606) 432-0191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 38711 KY Primary

Addresses

Primary practice location

189 Hibbard St
Pikeville, KY 41501-1754

Mailing address

189 Hibbard St
Pikeville, KY 41501-1754
Phone (606) 432-0191

Other identifiers 1

IdentifierTypeStateIssuer
64092638MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841301520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 HIBBARD ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011754",
            "telephone_number": "606-432-0191",
            "fax_number": "606-432-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 HIBBARD ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011754",
            "telephone_number": "606-432-0191",
            "fax_number": "606-432-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THACKER FAMILY MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "CHADWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-432-0191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "KY",
            "license": "38711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64092638",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • 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.