IKE CLAYTON THACKER MD NPI 1720031511

NPI Details

Ike Clayton Thacker, MD is a diagnostic radiology radiology in Dallas, TX with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Ike Clayton Thacker, MD NPI is 1720031511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1996

The provider's business location address is:

3500 GASTON AVE
DALLAS, TX
ZIP 75246
Phone: (214) 826-8822
Fax: (214) 926-9792

The NPI 1720031511 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.

• Ct scan head or brain without contrast (HCPCS:70450)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Mri scan of brain without contrast (HCPCS:70551)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Ct scan of lower spine without contrast (HCPCS:72131)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Mri scan of blood vessels of head without contrast (HCPCS:70544)
• Ct scan of face without contrast (HCPCS:70486)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Ct scan of middle spine without contrast (HCPCS:72128)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist (HCPCS:36224)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 2/15/2012.

Taxonomy Codes

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Other Identifiers

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