Gwendolyn Irene Thacker (NPI# 1619302791, PAC ID# 3779717731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1619302791 |
| PAC ID by PECOS | 3779717731 |
| Professional Enrollment ID | I20131004000284 |
| Full Name | Gwendolyn Irene Thacker |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Address |
4000 Miamisburg-centerville Dr Suite 207 Miamisburg OH 45342-3674 |
| Phone Number | 9378666655 |
| Gender | F |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840104360 |
| Number of Group Practice Members | 727 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| 360079 | KETTERING MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-3674 | ALLIANCE PHYSICIANS INC | |
| 4000 Miamisburg-centerville Dr, Suite 207, Miamisburg, OH 45342-3674 | 9378666655 | ALLIANCE PHYSICIANS INC |
| Organization Legal Name | ALLIANCE PHYSICIANS INC |
| Physicians | 760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katresha Janiece Williams-ellington | Nurse Practitioner | Alliance Physicians Inc | 3300 Philadelphia Dr, Dayton, OH 45405-1919 |
| Rebecca Anne Reynolds | Nurse Practitioner | Alliance Physicians Inc | 2141 N Fairfield Rd B, Beavercreek, OH 45431-2579 |
| Whitney Nicole Clark | Certified Nurse Midwife (cnm) | Alliance Physicians Inc | 50 N Progress Dr, Xenia, OH 45385-2666 |
| Akil P. Patel | Neurosurgery | Alliance Physicians Inc | 3533 Southern Blvd, Suite 5350, Kettering, OH 45429-1263 |
| Charles William Oberer | Gastroenterology | Alliance Physicians Inc | 3359 Kemp Rd, Suite 100, Beavercreek, OH 45431-4204 |
| Rebecca Yeager | Family Medicine | Alliance Physicians Inc | 2145 N Fairfield Rd, Suite 100, Beavercreek, OH 45431-2580 |
| Jennifer Martin | Family Medicine | Alliance Physicians Inc | 825 N Main St, Suite 140, Springboro, OH 45066-1503 |
| Stefanie Kristine Lewis | Family Medicine | Alliance Physicians Inc | 1045 Channingway Dr, Fairborn, OH 45324-9252 |
| Angela A Adams-harrison | Family Medicine | Alliance Physicians Inc | 415 Byers Rd, Suite 300, Miamisburg, OH 45342-3684 |
| Michelle Bizzarro | Nurse Practitioner | Alliance Physicians Inc | 3371 Kemp Rd, Beavercreek, OH 45431-2514 |
| Street Address |
4000 MIAMISBURG-CENTERVILLE DR SUITE 207 |
| City | MIAMISBURG |
| State | OH |
| Zip | 45342-3674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carey Brown | General Surgery | Alliance Physicians Inc | 4000 Miamisburg-centerville Dr, Suite 207, Miamisburg, OH 45342-3674 |
| Jerod B Grogg | Physician Assistant | Alliance Physicians Inc | 4000 Miamisburg-centerville Dr, Suite 207, Miamisburg, OH 45342-3674 |
| Muna Jneidi | Geriatric Medicine | Alliance Physicians Inc | 4000 Miamisburg-centerville Dr, Suite 207, Miamisburg, OH 45342-3674 |
| Michelle Elizabeth Wright | Physician Assistant | Alliance Physicians Inc | 4000 Miamisburg-centerville Dr, Suite 207, Miamisburg, OH 45342-3674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Percy Frasier | Obstetrics/gynecology | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Kelly Lynn Welsh | Certified Clinical Nurse Specialist (cns) | Dayton Osteopathic Hospital | 1989 Miamisburg Centerville Rd, Suite 204, Dayton, OH 45342 |
| Gary A Mueller | Pediatric Medicine | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Mukund Dole | Hematology/oncology | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Christopher T Brown | Pediatric Medicine | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Christopher J Bugnitz | Pediatric Medicine | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Susan Pena Almazan | Endocrinology | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Jeffrey S Christian | General Surgery | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Stephen Wolf | Pulmonary Disease | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Edward J Walz Jr. | Anesthesiology | Dayton Childrens Specialty Physicians Inc | 3333 W Tech Blvd, Miamisburg, OH 45342-0817 |
| Find all physicians in zip 45342 | |||
| City | MIAMISBURG |
| Zip Code | 45342 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIAMISBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gwendolyn Irene Thacker.
| 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.