MARK A. TACKETT (NPI# 1144281791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144281791 |
| Entity Type | Individual |
| Full Name | MARK A. TACKETT |
| Credential | M.D. |
| Practice Address |
2025 W Everly Brothers Blvd Powderly KY 42367-5401 |
| Mailing Address |
Po Box 23229 Owensboro KY 42304-3229 |
| Practice Telephone | 2703772600 |
| Practice Fax Number | 2703772610 |
| Mailing Telephone | 2706881330 |
| Mailing Fax Number | 2706881338 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35646 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 6401849200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Barrett Blvd, Henderson, KY 424204950 | 2708448600 | 2708448610 |
| 510 Ruby Dr, Madisonville, KY 424312168 | 2703997900 | 2703997910 |
| 2025 W Everly Brothers Blvd, Powderly, KY 423675401 | 2703772600 | 2703772610 |
| Street Address |
2025 W EVERLY BROTHERS BLVD |
| City | POWDERLY |
| State | KY |
| Zip Code | 42367-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151454 | April Hollis | Nurse Practitioner | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2019-08-28 |
| 1144734054 | Beechmont Pharmacy, Inc. | Pharmacy | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2017-11-30 |
| 1770001877 | Owensboro Health Medical Group, Inc. | Internal Medicine | 2025 W Everly Brothers Blvd, Powderly, KY 42367-5401 | 2017-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487824553 | Stephen Wood, Od | Optometrist | 609 W Main, Powderly, KY 42367 | 2008-03-05 |
| 1124029160 | Brian Wayne Chaney | Internal Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-01 |
| 1689124141 | Crystal Lynn Ward | Nurse Practitioner | 1010 Medical Center Dr, Powderly, KY 42367 | 2016-10-09 |
| 1518959923 | Cheri Lynn Fogle | Nurse Practitioner | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-22 |
| 1023019130 | Ms Community Health LLC | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-10 |
| 1841291390 | Gary D Givens | General Practice | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-09 |
| 1073514030 | Kristy G Chappell | Family Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-02 |
| 1952453813 | George Stephen Wood | Optometrist | 609 West Main St, Powderly, KY 42367-0100 | 2007-01-18 |
| 1700194388 | Oh Muhlenberg, LLC | Clinic/Center | 2025 W Everly Brothers Blvd Ste 2a, Powderly, KY 42367-5401 | 2010-09-17 |
| 1144228040 | Terry Lynn Mcpherson | Physician Assistant | 2025 W Everly Brothers Blvd Ste 1a, Powderly, KY 42367-5401 | 2005-07-13 |
| Find all providers in zip 42367 | ||||
| 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 |
|---|---|---|---|---|
| 1821279456 | Baptist Health Medical Group, Inc | Family Medicine | 1010 Medical Center Dr, Powderly, KY 42367-5463 | 2007-11-26 |
| 1073514030 | Kristy G Chappell | Family Medicine | 1010 Medical Center Drive, Powderly, KY 42367 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| 1306443908 | Complete Wellness Inc | Family Medicine | 25 Joshua Lane, Hawesville, KY 42348 | 2020-10-06 |
| 1811503410 | Angela Coffman | Family Medicine | 1000 Thompson Dr, Beaver Dam, KY 42320-9152 | 2020-09-18 |
| 1871107375 | West Towne Clinical Services Pllc | Family Medicine | 2755 W Park Dr Ste 1, Paducah, KY 42001-9058 | 2020-09-02 |
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1952929689 | Yasir LLC | Family Medicine | 103 Financial Pl Ste 300, Elizabethtown, KY 42701-4470 | 2020-07-09 |
| 1578188637 | Megan Elizabeth Burke | Family Medicine | 641 Zag Rd, West Liberty, KY 41472-7625 | 2020-06-14 |
| 1679197529 | Kentucky Mountain Interventional and Infusion Therapies, LLC. | Family Medicine | 101 Hibbard St Ste 200, Pikeville, KY 41501-1788 | 2020-06-05 |
| 1548883960 | Proactive Md Ky Psc | Family Medicine | 4340 Crittenden Dr, Louisville, KY 40209-1600 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
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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.