DR. MICHAEL ERNEST THACKER (NPI# 1336448125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336448125 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ERNEST THACKER |
| Credential | DPM |
| Practice Address |
1821 Clemson Rd Ste 2 Columbia SC 29229-7832 |
| Practice Telephone | 8037886400 |
| Practice Fax Number | 8037886544 |
| Mailing Telephone | 8037886400 |
| Mailing Fax Number | 8037886544 |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2016-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 627 | SC | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
627 | SC | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
627 | SC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PD6279 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205399508 | Michael David Thacker | Nurse Practitioner | 100 Clinchfield St, Kingsport, TN 37660-3681 | 2019-04-12 |
| 1447798442 | Michael Thacker | Counselor | 15 Meeks Rd, Kingston, NH 03848-3517 | 2017-02-09 |
| Street Address |
1821 CLEMSON RD STE 2 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29229-7832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013022516 | Kamran Zargham Koranloo | Anesthesiology | 1821 Clemson Rd, Columbia, SC 29229-7832 | 2006-08-21 |
| 1972960722 | Sandhills Foot Clinic | Clinic/Center | 1821 Clemson Rd, Columbia, SC 29229-7832 | 2016-01-25 |
| 1326430208 | Lake Carolina Pain and Spine Center, LLC | Anesthesiology | 1821 Clemson Rd, Columbia, SC 29229-7832 | 2015-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| 1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
| 1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
| 1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
| 1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
| 1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
| Find all providers in zip 29229 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1912388661 | Evan K Yoo | Podiatrist | 5500 Knoll North Dr Ste 440, Columbia, MD 21045-2364 | 2015-06-17 |
| 1831539303 | Benjamin David Elgamil | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2013-06-28 |
| 1154627008 | Michelle P Glover | Podiatrist | 3 Richland Medical Park Suite 110, Columbia, SC 29203 | 2011-02-09 |
| 1457440265 | Hyman David Gottlieb | Podiatrist | 11733 Lone Tree Ct, Columbia, MD 21044-4310 | 2006-10-11 |
| 1730176249 | Harry Cotler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2005-09-29 |
| 1720088149 | Bryan Davies | Podiatrist | 6439 Garners Ferry Rd, Columbia, SC 29209 | 2005-07-28 |
| 1003420225 | Foot and Ankle Pain Center LLC | Podiatrist | 9821 Broken Land Pkwy Ste 103, Columbia, MD 21046-1161 | 2020-09-04 |
| 1356791735 | Matthew Engelthaler | Podiatrist | 1730 Saint Julian Pl, Columbia, SC 29204-2410 | 2016-06-16 |
| 1013393297 | Carly Chapman | Podiatrist | 1516 Calhoun St, Columbia, SC 29201 | 2015-08-10 |
| Find all providers in COLUMBIA | ||||
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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.