Daniel E Tackabury (NPI# 1104807973, PAC ID# 4284625203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104807973 |
| PAC ID by PECOS | 4284625203 |
| Professional Enrollment ID | I20040519001017 |
| Full Name | Daniel E Tackabury |
| Organization Legal Name | MCLAREN LAPEER REGION |
| Address |
1254 N Main St Lapeer Regional Medical Center Lapeer MI 48446-1343 |
| Phone Number | 8106644531 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8123000544 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230193 | MCLAREN LAPEER REGION |
| 231330 | MARLETTE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 | 8106644531 | MCLAREN LAPEER REGION |
| Organization Legal Name | MCLAREN LAPEER REGION |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan M Maten | Nurse Practitioner | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Nicholas P Nunnally | General Surgery | Mclaren Lapeer Region | 1375 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1350 |
| Javaid M Arrine | Psychiatry | Mclaren Lapeer Region | 809 W Dryden Rd, Mclaren Community Medical Center Metamora, Metamora, MI 48445-8961 |
| Eric Paul Rose | Physician Assistant | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Kevin K Florek | Undersea and Hyperbaric Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Roger A Skindell | Family Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Kathleen M Perkins | Family Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Nicole A Demarco | Nurse Practitioner | Mclaren Lapeer Region | 1375 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1350 |
| Maria T Cumba | General Surgery | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Hsin Kai Chen | Physician Assistant | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Street Address |
1254 N MAIN ST LAPEER REGIONAL MEDICAL CENTER |
| City | LAPEER |
| State | MI |
| Zip | 48446-1343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan M Maten | Nurse Practitioner | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Eric Paul Rose | Physician Assistant | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Erica Weaver | Nurse Practitioner | Mclaren Medical Group | 1254 N Main St, Lapeer, MI 48446-1343 |
| Kevin K Florek | Undersea and Hyperbaric Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Roger A Skindell | Family Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Imad S Modawi | Nephrology | Kidney Disease and Hypertension, P.C. | 1254 N Main St, Lapeer, MI 48446-1343 |
| Kathleen M Perkins | Family Medicine | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Maria T Cumba | General Surgery | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Hsin Kai Chen | Physician Assistant | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Aalia Saeed | Gastroenterology | Mclaren Lapeer Region | 1254 N Main St, Lapeer Regional Medical Center, Lapeer, MI 48446-1343 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akram M Fram | General Practice | 237 Davis Lake Rd A P O Box, Suite 38, Lapeer, MI 48446-0038 | |
| Robert M Cleary Jr. | Cardiovascular Disease (cardiology) | Cardiology Consultants of East Michigan Pllc | 1031 Suncrest Dr, Lapeer, MI 48446-1136 |
| Pamela J Handley | Nurse Practitioner | Cardiology Consultants of East Michigan Pllc | 1031 Suncrest Dr, Lapeer, MI 48446-1136 |
| Hisham Ibrehim Ahmed | Internal Medicine | Hisham I Ahmed Md Pllc | 1457 Suncrest Dr, Lapeer, MI 48446-1151 |
| Danielle Giles | Clinical Social Worker | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Sarah Steinacker | Psychiatry | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Sharmalie Therese Sarvananda | Psychiatry | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Mary Lou Stewart | Clinical Social Worker | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Hillary Cole | Clinical Social Worker | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Christine M Cucchi | Psychiatry | County of Lapeer | 1570 Suncrest Dr, Lapeer, MI 48446-1154 |
| Find all physicians in zip 48446 | |||
| City | LAPEER |
| Zip Code | 48446 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAPEER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daniel E Tackabury.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.