DR. ANTHONY JOHN TACKMAN M.D. NPI 1306855689

NPI Information

NPI: 1306855689
Provider Name: DR. ANTHONY JOHN TACKMAN, M.D.
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

Address:
3000 NEW BERN AVE
NEONATOLOGY DEPT.
RALEIGH, NC
ZIP 27610
Phone: (919) 350-8545
Get Directions

DR. Anthony John Tackman, M.D. is a neonatal-perinatal medicine pediatrics in Raleigh, NC. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Anthony John Tackman, M.D. NPI is 1306855689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 NEW BERN AVE
NEONATOLOGY DEPT.
RALEIGH, NC
ZIP 27610-231
Phone: (919) 350-8545
Fax: (919) 350-8146

The enumeration date for this NPI number is 8/5/2006 and was last updated on 4/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		9901045	NORTH CAROLINA	No
2	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	9901045	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8912100	MEDICAID	NORTH CAROLINA
2	G19656	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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