Russell E Tackett (NPI# 1821172768, PAC ID# 5193795706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1821172768 |
| PAC ID by PECOS | 5193795706 |
| Professional Enrollment ID | I20040730000173 |
| Full Name | Russell E Tackett |
| Organization Legal Name | RUSSELL E TACKETT MD PC |
| Address |
2340 E Meyer Blvd Bldg 2 Suite 440 Kansas City MO 64132-1112 |
| Phone Number | 8163610277 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 7517069545 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260027 | RESEARCH MEDICAL CENTER |
| 260085 | ST JOSEPH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2340 E Meyer Blvd Bldg 2, Suite 440, Kansas City, MO 64132-1112 | 8163610277 | RUSSELL E TACKETT MD PC |
| 2340 E Meyer Blvd Bldg 2, Kansas City, MO 64132-1112 | 8163610277 | RUSSELL E TACKETT MD PC |
| Organization Legal Name | RUSSELL E TACKETT MD PC |
| Physicians | 1 |
| Street Address |
2340 E MEYER BLVD BLDG 2 SUITE 440 |
| City | KANSAS CITY |
| State | MO |
| Zip | 64132-1112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pranavkumar K Dalal | Nephrology | 6400 Prospect Ave, Suite 646, Kansas City, MO 64132-1100 | |
| Craig Steven Stramel | Chiropractic | 2340 E Meyer Blvd, Suite 232, Kansas City, MO 64132-1105 | |
| Karla L Houston-gray | Internal Medicine | Midwest Metropolitan Physicians Group LLC | 2340 E Meyer Blvd, Suite 640, Kansas City, MO 64132-1110 |
| Shadrach Smith | Internal Medicine | Encompass Medical Group Pa | 2340 E Meyer Blvd, Suite 642, Kansas City, MO 64132-1110 |
| Aaron G Ellison | Family Medicine | Midwest Metropolitan Physicians Group LLC | 2340 E Meyer Blvd, Suite 640, Kansas City, MO 64132-1110 |
| Catherine Spell | Nurse Practitioner | Encompass Medical Group Pa | 2340 E Meyer Blvd, Suite 642, Kansas City, MO 64132-1110 |
| Zachary A Shanitkvich | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Katherine J Lorand | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Aubree M Remsburg | Certified Nurse Midwife (cnm) | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Rebecca J Ward | Obstetrics/gynecology | Midwest Womens Healthcare Specialists LLC | 2340 E Meyer Blvd, Suite 598, Kansas City, MO 64132-1112 |
| Find all physicians in zip 64132 | |||
| City | KANSAS CITY |
| Zip Code | 64132 |
| Specialty | UROLOGY |
| City + Specialty | KANSAS CITY + UROLOGY |
Please comment or provide details below to improve the information on Russell E Tackett.
| 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.