MR. HOWARD SCOTT TACKETT (NPI# 1487687745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487687745 |
| Entity Type | Individual |
| Full Name | MR. HOWARD SCOTT TACKETT |
| Credential | P.A. |
| Practice Address |
1412 Elba Hwy Troy AL 36079-6020 |
| Mailing Address |
1414 Elba Hwy Troy AL 36079-6020 |
| Practice Telephone | 3345668822 |
| Practice Fax Number | 3346702081 |
| Mailing Telephone | 3346706726 |
| Mailing Fax Number | 3346706731 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2013-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA-422 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 125750 | 05 |
| Street Address |
1412 ELBA HWY |
| City | TROY |
| State | AL |
| Zip Code | 36079-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801829643 | Griffith Guerry Walters | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-6020 | 2006-07-07 |
| 1295198687 | Amy E Brown | Pediatrics | 1412 Elba Hwy, Troy, AL 36079-6020 | 2016-04-01 |
| 1902288731 | Troy Pharmacy, LLC | Pharmacy | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-06-29 |
| 1730568171 | Dana Baldo-downs Wade | Social Worker | 1412 Elba Hwy, Troy, AL 36079-6020 | 2015-05-19 |
| 1619391265 | Jefferson Edgington | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2014-02-18 |
| 1811251010 | Brandi Bowden Dowling | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2012-07-02 |
| 1154508380 | Robert Alan Wade | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-6020 | 2008-01-30 |
| 1578625125 | Southeast Alabama Rural Health Associates | Clinic/Center | 1412 Elba Hwy, Troy, AL 36079 | 2006-12-13 |
| 1922018183 | Ben A Smith | Family Medicine | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
| 1003826249 | Tonya L Richards | Nurse Practitioner | 1412 Elba Hwy, Troy, AL 36079-0000 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629591060 | Walgreen Co | Pharmacy | 115 Southland Vlg # C, Troy, AL 36079 | 2017-07-18 |
| 1821138413 | Fleming Kirk, LLC | Optometrist | 97 Oak Park Drive, Troy, AL 36079 | 2007-02-06 |
| 1831563527 | Sabrina L Pennington | Specialist | 104 Emily Ct, Troy, AL 36079-2981 | 2015-11-18 |
| 1073985438 | Cherise Renee Crisman | Specialist/Technologist | 105 Dale Dr, Troy, AL 36079-3012 | 2015-10-26 |
| 1255622593 | Iveri Guri Zhvania | Pharmacist | 115 Southland Vlg, Troy, AL 36079-3044 | 2011-04-20 |
| 1346359742 | Harco Inc | Durable Medical Equipment & Medical Supplies | 115 Southland Vlg, Troy, AL 36079-3044 | 2006-08-30 |
| 1609214949 | Trina Gould Thompson | Audiologist | 419 Jane Rd, Apt. 2, Troy, AL 36079-3052 | 2013-06-09 |
| 1487622932 | Shanna F May | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2006-03-10 |
| 1568088722 | Giselle Pacheco Childers | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2020-06-23 |
| 1003301664 | Haley Henson | Optometrist | 97 Oak Park Dr, Troy, AL 36079-3081 | 2018-06-26 |
| Find all providers in zip 36079 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902356454 | Elaina Diclemente | Physician Assistant | 44199 Dequindre Rd Ste 222, Troy, MI 48085-1128 | 2016-10-08 |
| 1710338090 | Megan S Hakim | Physician Assistant | 4600 Investment Dr Ste 150, Troy, MI 48098-6376 | 2016-06-28 |
| 1811390560 | Anika Webb | Physician Assistant | 160 South Railroad Street, Station Square, Troy, PA 16947-1499 | 2014-10-08 |
| 1518099340 | Lisa Denise Sowels | Physician Assistant | 306 Town Center Dr, Troy, MI 48084-1742 | 2007-03-09 |
| 1487792867 | Pamela Sutherly | Physician Assistant | 700 S Stanfield Rd Ste A, Troy, OH 45373 | 2007-02-01 |
| 1164492229 | Leigh A. Dobbs | Physician Assistant | 264 W. Maple Rd., Suite #200, Troy, MI 48084 | 2006-01-23 |
| 1538767983 | Virginia Clare Fielhauer | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2020-10-16 |
| 1902386493 | Sara F Ruch | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2018-08-15 |
| 1376991539 | Kelsey Hilley | Physician Assistant | 2215 Burdett Ave, Samaritan Hospital, Troy, NY 12180-2466 | 2016-05-28 |
| 1487035275 | Lauren Naborczyk | Physician Assistant | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2015-06-17 |
| Find all providers in TROY | ||||
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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.