Dr. John Joseph Tackett
Pediatric Surgery
5 E 98th St # 1259
New York
, New York 10029-6501
Dr. John Joseph Tackett
Pediatric Surgery
5 E 98th St # 1259
New York
, New York 10029-6501
(608) 279-7491
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. John Joseph Tackett
- 5 E 98th St # 1259
- New York, NY
- Zip : 10029-6501
- Phone : (608) 279-7491
Second Address
- Dr. John Joseph Tackett
- 5 E 98th St # 1259
- New York, NY
- Zip : 10029-6501
- Phone : (608) 279-7491
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 303824 | NY |
National Provider Identifier
| NPI | 1346532124 |
|---|---|
| Provider Name | Dr. John Joseph Tackett |
| First Address | New York, NY 10029-6501 |
| Second Address | New York, NY 10029-6501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2011 |
| Last Update Date | 22/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.