Sarah Jo Tacke (NPI# 1902388341, PAC ID# 7810232667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902388341 |
| PAC ID by PECOS | 7810232667 |
| Professional Enrollment ID | I20181221002498 |
| Full Name | Sarah Jo Tacke |
| Organization Legal Name | SANFORD HEALTH NETWORK |
| Address |
1680 Diagonal Rd Worthington MN 56187-1008 |
| Phone Number | 5073723800 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800707100 |
| Number of Group Practice Members | 252 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430027 | SANFORD USD MEDICAL CENTER |
| 240022 | SANFORD MEDICAL CENTER WORTHINGTON |
| Address | Phone | Organization |
|---|---|---|
| 1301 W 18th St, Sanford Cardiovascular Institute, Sioux Falls, SD 57105-0401 | 6053282929 | SANFORD MEDICAL CENTER |
| 1680 Diagonal Rd, Worthington, MN 56187-1008 | 5073723800 | SANFORD HEALTH NETWORK |
| Organization Legal Name | SANFORD HEALTH NETWORK |
| Physicians | 211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kahley E Meyer | Physician Assistant | Sanford Health Network | 112 St Olaf St, Sanford Canby Medical Center, Canby, MN 56220-1433 |
| Terrence J Jatczak | Nurse Practitioner | Sanford Health Network | 300 S Byron Blvd, Chamberlain, SD 57325-9741 |
| Daniel W Christensen Jr. | Nurse Practitioner | Sanford Health Network | 400 N Hiawatha Dr, Canton, SD 57013-5800 |
| Amanda L Glanzer | Nurse Practitioner | Sanford Health Network | 1430 N Hwy, Sanford Clinic Jackson, Jackson, MN 56143-1093 |
| Amber Dione Van Voorst | Certified Registered Nurse Anesthetist (crna) | Sanford Health Network | 118 N 7th Ave, Sheldon, IA 51201-1235 |
| Jason D Spjut | General Surgery | Sanford Health Network | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 |
| David Ray Jones | Emergency Medicine | Sanford Health Network | 1018 6th Ave, Worthington, MN 56187-2202 |
| Marsha P Viers | Physician Assistant | Sanford Health Network | 920 Bell Ave, Westbrook, MN 56183-9669 |
| Tomasz P Lis | Family Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Josephine Dunn Junius | Family Medicine | Sanford Health Network | 215 N Market St, Suite 2, Lake Park, IA 51347-7706 |
| Street Address |
1680 DIAGONAL RD |
| City | WORTHINGTON |
| State | MN |
| Zip | 56187-1008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tomasz P Lis | Family Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Rachael Dekker | Certified Registered Nurse Anesthetist (crna) | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Lisa R Milbrandt | Physician Assistant | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Madeline Z Luke | Internal Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Jonathan H Pap | Nurse Practitioner | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| William M Welch | Certified Registered Nurse Anesthetist (crna) | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Chalermkiat T Thanasawat | Internal Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Kelli K Hinsch | Nurse Practitioner | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Holly M Klink | Nurse Practitioner | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Nicole L Block | Nurse Practitioner | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lezlie Pearl Jones | Optometry | Avera Mckennan | 702 10th, Worthington, MN 56187 |
| Wallace Scott Johnson | Optometry | Avera Mckennan | 702 10th, Worthington, MN 56187 |
| Roger Dean Johnson | Optometry | Avera Mckennan | 702 10th, Worthington, MN 56187 |
| Parveen Kumar | Hospitalist | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Jenna R Wolfe | Hospitalist | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Amadin Onome Osayomore | Family Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Polina B Rivera | Nurse Practitioner | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Alicia A Frankwitz | Emergency Medicine | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Steven K Branch | General Surgery | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Alettie J Lewis | Physician Assistant | Sanford Health Network | 1680 Diagonal Rd, Worthington, MN 56187-1008 |
| Find all physicians in zip 56187 | |||
| City | WORTHINGTON |
| Zip Code | 56187 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WORTHINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sarah Jo Tacke.
| 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.