DR. ROBERT E. THACKER


Address: 620 10th Street N., St Petersburg, FL 33705-1407
Phone: 7278247144

DR. ROBERT E. THACKER (NPI# 1881680973) 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) 1881680973
Entity Type Individual
Full Name DR. ROBERT E. THACKER
Credential M.D.
Practice Address 620 10th Street N.
St Petersburg
FL 33705-1407
Mailing Address Po Box 12868
St Petersburg
FL 33733-2868
Practice Telephone 7278247144
Practice Fax Number 7278248292
Mailing Telephone 7275321355
Mailing Fax Number 7272664928
Enumeration Date 2005-09-23
Last Update Date 2014-07-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
ME38522 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 065477900 05

Other Providers ROBERT THACKER

NPI Name Taxonomy Address Enumeration
1902022320 Robert E Thacker Jr. Counselor 223 S. Walnut Ave., Ames, IA 50010 2007-04-17
1306926621 Robert K Thacker Family Medicine 603a Dolley Madison Rd, Greensboro, NC 27410-4205 2006-10-17
1477652204 Robert A Thacker Dentist 1436 Beauty Circle, Birmingham, AL 35214-3008 2006-09-21
1124309224 Robert Slade Thacker Nurse Practitioner 1906 Fairview Ave, Ste. 230, Caldwell, ID 83605-5407 2011-09-01
1003874991 Robert Mitchell Thacker Optometrist 1466 Broad St, Providence, RI 02905-2836 2006-05-02

Office Location

Street Address 620 10TH STREET N.
City ST PETERSBURG
State FL
Zip Code 33705-1407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659363836 Raquelle Alexander Allergy & Immunology 620 10th Street N., St Petersburg, FL 33705-1407 2005-08-16
1033474184 Lataura Atwell-small Family Medicine 620 10th Street N., St Petersburg, FL 33705-1407 2012-07-05
1639478589 Sc Physicians LLC Durable Medical Equipment & Medical Supplies 620 10th Street N., St Petersburg, FL 33705-1407 2011-03-17
1245466093 Timi Donn Maloney Family Medicine 620 10th Street N., St Petersburg, FL 33705-1407 2009-06-08
1194986281 Amy Bolton Koenig Strickland Internal Medicine 620 10th Street N., St Petersburg, FL 33705-1407 2008-06-20
1255536702 Vicki Marie Connell Audiologist 620 10th Street N., St Petersburg, FL 33705-1407 2007-06-15
1083759849 Roger Covey Physical Therapist 620 10th Street N., St Petersburg, FL 33705-1407 2007-02-20
1528153392 Richard F. Blanchard Internal Medicine 620 10th Street N., St Petersburg, FL 33705-1407 2006-10-04
1982683678 Mihaela Soran Internal Medicine 620 10th Street N., St Petersburg, FL 33705-1407 2006-01-11
1417943598 Mark W. Smith Optometrist 620 10th Street N., St Petersburg, FL 33705-1407 2005-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935781 Caressa Alice Slocum Psychologist 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 2020-09-01
1386133015 Angela Ann Little Social Worker 920 Country Club Way S, St Petersburg, FL 33705 2018-05-08
1497279483 Infinity Health Consultants, LLC. In Home Supportive Care 1001 27th Avenue South, St. Petersburg, FL 33705 2017-08-01
1801320528 Dedicated Senior Medical Center St. Petersburg, LLC. Non-Pharmacy Dispensing Site 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 2017-04-19
1790135762 Robin Dong Emergency Medicine 1095 5th Ave N, St. Petersburg, FL 33705 2016-06-20
1437550084 Community Health Center of Pinellas Inc Clinic/Center 612 Dr Martin L King St N, St Petersburg, FL 33705 2014-09-12
1164851754 Jennifer Carey Counselor 11 Mlk Jr St South, St. Petersburg, FL 33705 2013-11-05
1750623997 Dannaly Reyes Baerga Physical Medicine & Rehabilitation 1201 5th Ave N Ste 202, St Petersburg, FL 33705 2013-03-26
1518209055 Nii Sai Torto Emergency Medicine 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 2013-03-22
1790034635 Melissa White Kidwell Physical Therapist 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 2012-09-06
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275977274 Sean Michael Mcgarvey Internal Medicine 2639 Dr Martin Luther King St N, St Petersburg, FL 33704-2733 2013-04-20
1114033453 Michael Newan Internal Medicine 1075 9th Ave N, St Petersburg, FL 33705-1255 2006-08-21
1164496055 Ashok Mittal Internal Medicine 6185 54th Ave N, St Petersburg, FL 33709-1807 2006-02-15
1235200585 Donald M Pell Internal Medicine 2112 16th St N, St Petersburg, FL 33704-3924 2006-11-10
1083688899 Burnes Lynn Feaster IIi Internal Medicine 625 6th Ave S, Ste 475, St Petersburg, FL 33701-4662 2006-02-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619507431 Tricounty Physicians, LLC Internal Medicine 1507 Buenos Aires Blvd Ste 102, The Villages, FL 32159-8974 2020-01-21
1104464262 Naples Pulmonary LLC Internal Medicine 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 2019-12-19
1245892611 Blueapplecare, LLC. Internal Medicine 2625 Executive Park Dr Ste 101, Weston, FL 33331-3634 2019-07-05
1598321051 South Broward Hospital District Internal Medicine 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 2019-05-10
1255800629 Shiffa Medical Solutions LLC Internal Medicine 12144 Montalcino Circle, Windermere, FL 34780 2018-11-15
1538638853 Arif Shakoor II LLC Internal Medicine 2257 Us Highway 441 N Ste C, Okeechobee, FL 34972-1943 2018-11-15
1396226304 Adayiba Zamora Internal Medicine 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 2018-08-27
1366929465 Ernesto E. Fonts, M.d, P.a. Internal Medicine 777 E 25th St Ste 512, Hialeah, FL 33013-3834 2018-07-23
1528552494 Joseph C Daley IIi Md Fccp LLC Internal Medicine 1031 Se 9th Pl Unit 2, Cape Coral, FL 33990-3003 2018-06-14
1992200158 James Lucio Md, Pa Internal Medicine 12627 Butler Bay Ct, Windermere, FL 34786-6102 2018-03-28
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Competitor

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City ST PETERSBURG
Zip Code 33705

Improve Information

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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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