DR. DANIEL E TACKABURY (NPI# 1104807973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104807973 |
| Entity Type | Individual |
| Full Name | DR. DANIEL E TACKABURY |
| Credential | MD |
| Practice Address |
3789 Huron St North Branch MI 48461-8117 |
| Mailing Address |
401 S Ballenger Hwy Flint MI 48532-3638 |
| Practice Telephone | 8106883093 |
| Practice Fax Number | 8106883964 |
| Mailing Telephone | 8103421000 |
| Mailing Fax Number | 8103421590 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301070116 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | HEALTH NET FEDERAL SERV | H21189 | 01 |
| MI | 4226712 | 05 | |
| MA | HEALTH PLUS | 0988276 | 01 |
| MA | MCARE | C7436 | 01 |
| MA | HEALTH ADVANTAGE NETWORK | 253174 | 01 |
| MI | CIGNA | 6872693001 | 01 |
| MA | MCLAREN HEALTH PLAN | 253174 | 01 |
| MI | AETNA | 7936230 | 01 |
| MI | HEALTH ALLIANCE PLAN | H21189 | 01 |
| Street Address |
3789 HURON ST |
| City | NORTH BRANCH |
| State | MI |
| Zip Code | 48461-8117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407908353 | Dental Health Care | Dentist | 6668 Bernie Kohler Dr, Dental Health Care, North Branch, MI 48461 | 2007-01-18 |
| 1396850392 | Ola Michael Sitto | Dentist | 5830 N Lapeer Rd, North Branch, MI 48461 | 2006-08-20 |
| 1417961368 | Wiebke Papenfus | Occupational Therapist | 5832 North Lapeer Rd, Full Circle Physical Therapy Suite A, North Branch, MI 48461 | 2006-07-28 |
| 1871797571 | Marlette Regional Hospital | Family Medicine | 4000 Huron St, North Branch, MI 48461 | 2007-06-14 |
| 1518978675 | Shannon Michael | Physical Therapist | 5832 North Lapeer Rd, Full Circle Physical Therapy Suite A, North Branch, MI 48461 | 2006-08-11 |
| 1891806394 | Advanced Pharmacy & Nutrition Center | Pharmacy | 3960 Huron St, North Branch, MI 48461-6122 | 2006-08-31 |
| 1225249832 | Peggy Louise Strack | Pharmacist | 3960 Huron St, North Branch, MI 48461-6122 | 2007-05-24 |
| 1467534255 | Huron Street Pharmacy | Pharmacy | 3960 Huron St, North Branch, MI 48461-6122 | 2006-10-20 |
| 1992162424 | Debra Bennett | Licensed Practical Nurse | 5764 Cobblestone Dr, North Branch, MI 48461-7925 | 2016-01-28 |
| 1194057042 | Katie Lynn Birkenhauer | Chiropractor | 3915 Mill St, North Branch, MI 48461-8004 | 2010-02-03 |
| Find all providers in zip 48461 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457716102 | Columbiaville Family Clinic Pllc | Family Medicine | 5830 N Lapeer Rd Ste B, North Branch, MI 48461-9660 | 2015-12-23 |
| 1518050103 | Paula J Rehder | Family Medicine | 6413 Oak Street, North Branch, MN 55056 | 2006-10-02 |
| 1629172069 | William J Starbird | Family Medicine | 4000 Huron St, North Branch, MI 48461-8664 | 2006-09-07 |
| 1346268539 | Linda Lucille Barrett | Family Medicine | 6413 Oak St, North Branch, MN 55056-5129 | 2006-07-17 |
| 1306808357 | Jeffrey Cox | Family Medicine | 38986 14th Ave, North Branch, MN 55056-7067 | 2006-04-05 |
| 1871797571 | Marlette Regional Hospital | Family Medicine | 4000 Huron St, North Branch, MI 48461 | 2007-06-14 |
| 1831258615 | William C Piotrowski | Family Medicine | 6413 Oak St, North Branch, MN 55056-5129 | 2006-12-07 |
| 1811081516 | Thomas A Leaf | Family Medicine | 6413 Oak Street, North Branch, MN 55056 | 2006-10-03 |
| 1376649434 | Michael M Dummer | Family Medicine | 6413 Oak St, North Branch, MN 55056-5129 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163465 | Salta of Auburn Hills | Family Medicine | 2191 S South Blvd, Suite 101c, Pontiac, MI 48326-3481 | 2020-10-29 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1710592050 | Chippewa County War Memorial Hospital Inc | Family Medicine | 391 E M 134, Cedarville, MI 49719-9451 | 2020-09-14 |
| 1184238966 | Med Clubs | Family Medicine | 2575 Hummingbird Dr, Holt, MI 48842-9430 | 2020-08-31 |
| 1457961054 | Danna Zevy | Family Medicine | 107 S Washington Ave Apt 401, Saginaw, MI 48607-1258 | 2020-08-07 |
| 1194342808 | Zachary Hillman Do Pllc | Family Medicine | 1794 N Lapeer Rd Ste A, Lapeer, MI 48446-7664 | 2020-06-29 |
| 1336765445 | Spectrum Health United | Family Medicine | 7188 Avenue B, Vestaburg, MI 48891-9502 | 2020-06-24 |
| 1477179711 | Spectrum Health United | Family Medicine | 1324 N County Line Rd, Blanchard, MI 49310-9303 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRANCH |
| Zip Code | 48461 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.