MRS. TERESA YVONNE THACKER (NPI# 1891875274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891875274 |
| Entity Type | Individual |
| Full Name | MRS. TERESA YVONNE THACKER |
| Other Name | DR. TERESA YVONNE THACKER |
| Credential | MD |
| Practice Address |
1155 Main St Milton WV 25541-1217 |
| Practice Telephone | 3047438833 |
| Practice Fax Number | 3047438834 |
| Mailing Telephone | 3047438833 |
| Mailing Fax Number | 3047438834 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2015-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17431 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0053757000 | 05 | |
| WV | TRAVLERS MEDICARE | 080174378 | 01 |
| WV | BCBS | 001721893 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326152570 | Teresa A Thacker | Nurse Practitioner | 4751 S Cleveland Ave, Fort Myers, FL 33907 | 2006-08-17 |
| Street Address |
1155 MAIN ST |
| City | MILTON |
| State | WV |
| Zip Code | 25541-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750461190 | Anthony Wayne Thacker | Family Medicine | 1155 Main St, Milton, WV 25541-1217 | 2006-10-17 |
| 1730269101 | Thacker Family Physicians | Family Medicine | 1155 Main St, Milton, WV 25541-1217 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570601 | Mark Halcombe | Massage Therapist | 1208 Trenol Rd., Milton, WV 25541 | 2019-10-18 |
| 1285285528 | Amy Conrad | Technician | 1233 Glenwood St, Milton, WV 25541 | 2019-09-27 |
| 1841849981 | Penny Blake | Technician | 248 Woodmire Drive, Milton, WV 25541 | 2019-09-11 |
| 1013407691 | Brandi Raelynn Krismer | Massage Therapist | Suite 5 Perry Morris Square, Milton, WV 25541 | 2018-05-18 |
| 1548457922 | Bogren Chiropractic Health Center | Chiropractor | 332 East Main Street, Milton, WV 25541 | 2007-09-28 |
| 1255424248 | Donald G Klinestiver | Family Medicine | 1028 Mason St, Milton, WV 25541 | 2006-10-02 |
| 1093730624 | Linda Ann Eakle | Family Medicine | 1509 W Main Street, Milton, WV 25541 | 2006-07-13 |
| 1841288438 | Connie Sue Boggess | Occupational Therapist | 2216 Newmans Branch Road, Rural Route 3 Box 397, Milton, WV 25541 | 2005-10-09 |
| 1659721496 | Jessica D. Lewis | Nurse Practitioner | 1 Harbour Way, Milton, WV 25541 | 2016-06-13 |
| 1770999120 | Kristy M Ferguson | Specialist | 1109 Main St, Milton, WV 25541 | 2014-07-07 |
| Find all providers in zip 25541 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629344106 | Megan Pearl Malgeri | Family Medicine | 28 Centre Dr., Uvm Medical Center - Milton Family Medicine, Milton, VT 05468-3104 | 2012-03-28 |
| 1992098412 | Paul Kendall Pulchny | Family Medicine | 630 Mulberry St, Milton, DE 19968-1516 | 2011-05-17 |
| 1710297957 | Harry David Perkins | Family Medicine | 12489 Danesfeld Dr, Milton, GA 30004-6694 | 2010-10-20 |
| 1568790848 | Sidharth Sharma | Family Medicine | 980 Birmingham Rd Ste 304, Milton, GA 30004-4418 | 2009-11-25 |
| 1730323387 | Mehul Danawala | Family Medicine | 155 S Arch St Ste B, Milton, PA 17847-1172 | 2009-04-27 |
| 1780742072 | James Keith Festa | Family Medicine | 1687 Route 9w, Milton, NY 12547-5433 | 2006-12-05 |
| 1265508774 | Anita Tabor Dawson | Family Medicine | 1798 Midland Tr, Us Rt 60e, Milton, WV 25541-9507 | 2006-11-27 |
| 1255404620 | Jonathan E Fountain Md | Family Medicine | 5976 Berryhill Rd, Milton, FL 32570 | 2006-11-15 |
| 1255424248 | Donald G Klinestiver | Family Medicine | 1028 Mason St, Milton, WV 25541 | 2006-10-02 |
| 1265545255 | Abby Marissa Hunt | Family Medicine | 3874 Highway 90 Ste 201, Milton, FL 32571-1014 | 2006-08-16 |
| Find all providers in MILTON | ||||
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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.