DR. JEREMY WAYNE THACKER (NPI# 1003026295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003026295 |
| Entity Type | Individual |
| Full Name | DR. JEREMY WAYNE THACKER |
| Credential | M.D. |
| Practice Address |
800 Rose St Hx-302 Ukmc Lexington KY 40536-0293 |
| Mailing Address |
800 Rose St Hx316 Lexington KY 40536-0293 |
| Practice Telephone | 8592574457 |
| Mailing Telephone | 8599487773 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
41747 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100097180 | 05 |
| Street Address |
800 ROSE ST HX-302 UKMC |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560322 | Reinhold Munker | Internal Medicine | 800 Rose St, Lexington, KY 40536-4228 | 2005-07-07 |
| 1265032825 | Morgan Rose Grantham | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-31 |
| 1205436342 | Corrie Lyn Baumer | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-28 |
| 1053919779 | Timothy Burton | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1588262307 | Adam Sieg | Pharmacist | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-14 |
| 1255939351 | Brittany Monroe | Registered Nurse | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-12 |
| 1477150365 | Pearl Elizabeth Peterson | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-10-05 |
| 1093322745 | Katie Lynn Rust | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1558978221 | Michele Lee Bodine | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| 1184231839 | Jennifer Gene Bauman | Nurse Practitioner | 800 Rose St, Lexington, KY 40536-7001 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037949 | Justin Byron Hall | Radiology | 3452 Milam Ln, Lexington, KY 40502-3652 | 2017-11-30 |
| 1750731048 | Brent A Pressman | Radiology | 800 Rose St Rm Hx-315, Lexington, KY 40536-1227 | 2016-06-16 |
| 1952783672 | Harit Kapoor | Radiology | 800 Rose St Rm No, Lexington, KY 40536-4818 | 2015-06-19 |
| 1003159047 | Gilroy Lane Daley Sr. | Radiology | 3111 Maria Drive, Lexington, KY 40516 | 2013-03-28 |
| 1629336573 | Chad Herman Barker | Radiology | Uk-gme, 800 Rose Street, Room Hq-101, Lexington, KY 40536-0001 | 2012-04-29 |
| 1194010561 | Aaron David Fain | Radiology | Ukmc Department of Radiology, 800 Rose Street, Lexington, KY 40536-0001 | 2011-06-14 |
| 1790077113 | Sarah Milam Deraney | Radiology | 800 Rose St # Hx316, Lexington, KY 40536-0001 | 2011-05-03 |
| 1851529424 | Miguel Alexis Pereira Rodriguez | Radiology | 800 Rose St # Hx315e, Lexington, KY 40536-0293 | 2009-06-23 |
| 1588810451 | Gaby Gabriel | Radiology | 800 Rose St Rm Hx-311, Lexington, KY 40536-0293 | 2008-08-12 |
| 1730343674 | Stephen Hobbs | Radiology | 800 Rose St Rm Hx302, University of Kentucky Hospital, Lexington, KY 40536-0001 | 2008-07-10 |
| Find all providers in LEXINGTON | ||||
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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.