DR. ANTHONY JOHN TACKMAN M.D. NPI 1306855689

NPI Information

  • NPI: 1306855689
  • Provider Name: DR. ANTHONY JOHN TACKMAN, M.D.
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • Address: 3000 NEW BERN AVE
    NEONATOLOGY DEPT.
    RALEIGH, NC
    ZIP 27610
  • Phone: (919) 350-8545

Map and Directions

Get Directions

NPI Details

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
1208000000XPediatrics9901045NORTH CAROLINANo
22080N0001XPediatricsNeonatal-Perinatal Medicine9901045NORTH CAROLINAYes

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
18912100MEDICAIDNORTH CAROLINA
2G19656MEDICARE 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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI