Provider Type Icon

FREDERICK S TACKEY MD NPI 1689743445


NPI Information

NPI: 1689743445
Provider Name: FREDERICK S TACKEY, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
2300 SOUTH CONGRESS AVENUE #101
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 374-8919
Get Directions

Frederick S Tackey, MD is a pulmonary disease internal medicine in Boynton Beach, FL with 36 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Frederick S Tackey, MD NPI is 1689743445. 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:

2300 SOUTH CONGRESS AVENUE #101
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 374-8919
Fax: (561) 374-8911

The NPI 1689743445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • Measurement of lung diffusing capacity (HCPCS:94729)

The enumeration date for this NPI number is 11/7/2006 and was last updated on 9/1/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine0068055FLORIDANo
2207RC0200XInternal MedicineCritical Care Medicine0068055FLORIDANo
3207RP1001XInternal MedicinePulmonary Disease0068055FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F71810MEDICARE UPIN
226916AMEDICARE ID-TYPE UNSPECIFIED
3377890800MEDICAIDFLORIDA

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

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.