Victor M Tackett (NPI# 1518472281, PAC ID# 2163782178) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1518472281 |
| PAC ID by PECOS | 2163782178 |
| Professional Enrollment ID | I20180213002024 |
| Full Name | Victor M Tackett |
| Organization Legal Name | EMERGENCHEALTH LLC |
| Address |
1120 S Utica Ave Hc Med Ctr Tulsa OK 74104-4012 |
| Phone Number | 9185791000 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1355606641 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450558 | ABILENE REGIONAL MEDICAL CENTER |
| 370039 | HILLCREST HOSPITAL CLAREMORE |
| Address | Phone | Organization |
|---|---|---|
| 3142 Horizon Rd, Suite 100, Rockwall, TX 75032-7815 | 6826511908 | SPINE TEAM TEXAS PA |
| 7400 Barlite Blvd, San Antonio, TX 78224-1308 | 2109212000 | EMERGENCHEALTH LLC |
| 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092-6465 | 8174429300 | SPINE TEAM TEXAS PA |
| 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 | 9185791000 | EMERGENCHEALTH LLC |
| Organization Legal Name | EMERGENCHEALTH LLC |
| Physicians | 199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clinton Alsup | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 10512 N 110th E Ave, Bailey Med Ctr, Owasso, OK 74055-6636 |
| Chad Martinez | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 505 S John Redditt Dr, Woodland Heights Medical Center, Lufkin, TX 75904-3120 |
| Jonathan B Phillips | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1310 Paluxy Rd, Granbury, TX 76048-5655 |
| Mandy Rutter | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 111 N Bailey St, Hc Hosp Pryor, Pryor, OK 74361-4201 |
| Ted W Holmes | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 600 Elizabeth St, Christus Spohn Hospital Corpus Christi Shoreline, Corpus Christi, TX 78404-2235 |
| David M. Schiessler | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 6250 Us Hwy 83, Suite 84, Abilene, TX 79606-5215 |
| Robert H Baker | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 850 W Central Texas Expy, Seton Medical Center Harker Heights, Harker Heights, TX 76548-1890 |
| Michelle M Pieratt | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Ivan Kozhulenko | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Daniel S Pennington | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 10512 N 110th E Ave, Bailey Med Ctr, Owasso, OK 74055-6636 |
| Street Address |
1120 S UTICA AVE HC MED CTR |
| City | TULSA |
| State | OK |
| Zip | 74104-4012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle M Pieratt | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Ivan Kozhulenko | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Thomas R Leblanc | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Jess C Parker | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Komi N Agbodzie | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Kenneth Fulp | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Matthew Kent Ford | Diagnostic Radiology | Tulsa X-ray Laboratory Inc | 1120 S Utica Ave, Tulsa, OK 74104-4012 |
| Amie K Framel | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1120 S Utica Ave, Tulsa, OK 74104-4012 |
| Brandon Maray Wilson | Obstetrics/gynecology | Ahs Oklahoma Physician Group LLC | 1120 S Utica Ave, Tulsa, OK 74104-4012 |
| Nydia E Parks | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1120 S Utica Ave, Tulsa, OK 74104-4012 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Patrick | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Monte Harrel | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Curtis V Wolf Ii | Ophthalmology | 1145 S Utica Ave, Suite 362, Tulsa, OK 74104-4004 | |
| Kay L Worley | Neurology | Neuro Links of Tulsa, L.L.C. | 1145 S Utica Ave, Suite 901, Tulsa, OK 74104-4005 |
| Gabriela Corsi Vasquez | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Sristi Bhattarai | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Stephan Hambaz | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Zubair Ashraf | Rheumatology | 1145 S Utica Ave, Suite 1109, Tulsa, OK 74104-4010 | |
| George J Carstens Iii | Diagnostic Radiology | Tulsa X-ray Laboratory Inc | 1120 S Utica Ave, Tulsa, OK 74104-4012 |
| Bradley Gene Christianson | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Find all physicians in zip 74104 | |||
| City | TULSA |
| Zip Code | 74104 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | TULSA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Victor M Tackett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.