JASON TACKETT


Address: 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811
Phone: 8005141494

JASON TACKETT (NPI# 1043326580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043326580
Entity Type Individual
Full Name JASON TACKETT
Credential D.O.
Practice Address 1997 Miamisburg Centerville Rd
Dayton
OH 45459-3811
Mailing Address 6400 Atlantic Blvd
Jacksonville
FL 32211-8768
Practice Telephone 8005141494
Mailing Telephone 8666385931
Mailing Fax Number 9048051456
Enumeration Date 2006-08-21
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 34008287 OH Allopathic & Osteopathic Physicians

Other Providers JASON TACKETT

NPI Name Taxonomy Address Enumeration
1821304296 Jason Preston Tackett Registered Nurse 3500 Franciscan Way, Michigan City, IN 46360 2010-08-24

Office Location

Street Address 1997 MIAMISBURG CENTERVILLE RD
City DAYTON
State OH
Zip Code 45459-3811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568437580 Robert P Szewczyk Nurse Anesthetist, Certified Registered 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2006-02-22
1750910998 Michelle Ann Cornwell Pharmacist 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2020-04-08
1245889088 Rachel Allen Pharmacist 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2019-09-04
1891035325 Janhvi Sookram Obstetrics & Gynecology 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2013-02-20
1912117771 Lynne Diane Schwaberow Registered Nurse 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2007-05-23
1811107675 Frankie Sue Campbell Registered Nurse 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2007-05-23
1891816922 Southview Hospital Pharmacy General Acute Care Hospital 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2007-04-03
1033296827 Roberta Elizabeth Galford Anesthesiology 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2006-11-01
1952416489 Stacy Peterson Emergency Medicine 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2006-08-21
1649383639 Maureen K Leist Anesthesiology 1997 Miamisburg Centerville Rd, Dayton, OH 45459-3811 2006-08-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659917466 Sarai Burke Robinson Occupational Therapist 2200 Miami Valley Rd, Dayton, OH 45459 2019-11-27
1689179855 Paragon Infusion Therapy, LLC Durable Medical Equipment & Medical Supplies 1746 Thomas Paine Pkwy, Centerville, OH 45459 2018-03-28
1922555473 Hannah Gualtieri Specialist/Technologist Miami Valley Drive, Suite 320, Centerville, OH 45459 2016-09-01
1326410028 Kathleen E Dorsten Counselor 37 Irongate Park Dr, Centerville, OH 45459 2015-10-21
1184000846 Valeriya Falkenshtern Specialist/Technologist 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 2015-08-05
1700169331 Monica Lynn Carrico Registered Nurse 7625 Paragon Road Suite C, Dayton, OH 45459 2011-09-20
1427360080 Tonia S Campbell Physical Therapist 1235 E. Alex Bell Road, Centerville, OH 45459 2010-07-11
1265768956 Health At Home, LLC Home Health 6443 Bethany Village Drive, Dayton, OH 45459 2009-10-30
1881826337 Annetta Jean Davis Social Worker 7950 Clyo Road, Centerville, OH 45459 2009-08-18
1740459783 Ryan A Long Dentist 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 2008-02-25
Find all providers in zip 45459

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275875437 Stephanie I Haddad Emergency Medicine 10 Julia Way, Dayton, NJ 08810-1308 2013-03-26
1679702294 Leslie Rae Dye Emergency Medicine 601 South Edwin C Moses Rd, Dayton, OH 45417-3424 2009-07-02
1215080049 Charles Mcintosh Emergency Medicine 405 W. Grand Avenue, Dayton, OH 45405-4796 2007-01-18
1134210347 Bryan T. Fitzgerald Emergency Medicine 5664 Stone Lake Dr, Dayton, OH 45429-6001 2006-09-27
1558851568 Emergency Medicine Specialists, Inc. Emergency Medicine 405 W Grand Ave, Dayton, OH 45405-7538 2018-05-15
1710410998 Justin Jefferey Lake Emergency Medicine 405 W Grand Ave, Dayton, OH 45405-7538 2017-04-05
1053843870 Vincent Christopher Marsh Emergency Medicine 1 Wyoming St, Dayton, OH 45409-2722 2017-03-30
1215390455 Bonnie Marmora Emergency Medicine 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2016-04-04
1952780322 Adam Wiercinski Emergency Medicine 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 2015-05-19
1477931871 Keri Alison Childers Emergency Medicine 405 W Grand Ave, Medical Education Department, Dayton, OH 45405-4720 2015-05-18
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45459

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Dataset Information

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.

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