Richard Randall Thacker in Tallahassee - Internal Medicine
Richard Randall Thacker - NPI 1114920261
Richard Randall Thacker is a Internal Medicine in Tallahassee, Florida. Richard Randall Thacker practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Richard Randall Thacker is 1114920261. The last update date is 2016-08-20.
Richard Randall Thacker's current location address is 2770 Capital Medical Blvd, Tallahassee, Florida. You can contact this provider via phone number 8508788235 and fax number 8502192373. The mailing address for Richard Randall Thacker is 2770 Capital Medical Blvd, Tallahassee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Randall Thacker |
|---|---|
| Address | 2770 Capital Medical Blvd, Tallahassee, Florida |
| Phone Number | 8508788235 |
| Fax Number | 8502192373 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1114920261 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2016-08-20 |
Provider Mailing Address Detail
| Address | 2770 Capital Medical Blvd |
|---|---|
| City | Tallahassee |
| State | Florida (FL) |
| Post Code | 3230884170 |
| Phone Number | 8508788235 |
| Fax Number | 8502192373 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MEOS6976 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58464900 | FL | MEDICAID GROUP | |
| 57188 | FL | INDIVIDUAL PROVIDER BCBS | |
| 99039 | FL | GROUP BCBS ID NUMBER | |
| 37822101 | FL | -- | |
| P00625814 | FL | MEDICARE RAILROAD | |
| 1114920261 | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Richard Randall Thacker by the Centers for Medicare & Medicaid Services?
The Richard Randall Thacker has been issued the NPI (National Provider Identifier) 1114920261. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard Randall Thacker's physical address?
The Richard Randall Thacker is physically located at 2770 Capital Medical Blvd, in the city of Tallahassee, FL, with the postal code 3230884170.
What is Richard Randall Thacker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard Randall Thacker's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
When did the Richard Randall Thacker receive its 1114920261?
The Richard Randall Thacker was issued its 1114920261 on 2005-05-23, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Richard Randall Thacker most recently updated or revised?
The details related to Richard Randall Thacker, including its address, specialty, and other relevant information, were last updated or revised on 2016-08-20.