NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JEREMY W THACKER, MD
800 ROSE ST
HX-302 UKMC
LEXINGTON, KY40536-0293
 Medical school:
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2005

 Phone: 859-257-4457
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JEREMY W THACKER · (Male)

NPI # 1003026295
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2007
Last updated 08/06/2015 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 41747
  • KY Medicaid 7100097180
Hospital affiliation(s)
  • BAPTIST REGIONAL MEDICAL CENTER - (Acute Care)
    ONE TRILLIUM WAY
    CORBIN, KY 40701
  • HAZARD ARH REGIONAL MEDICAL CENTER - (Acute Care)
    100 MEDICAL CENTER DRIVE
    HAZARD, KY 41701
  • KENTUCKY RIVER MEDICAL CENTER - (Acute Care)
    540 JETT DRIVE
    JACKSON, KY 41339
  • PIKEVILLE MEDICAL CENTER - (Acute Care)
    911 BYPASS ROAD
    PIKEVILLE, KY 41501
  • UNIVERSITY OF KENTUCKY HOSPITAL - (Acute Care)
    800 ROSE STREET
    LEXINGTON, KY 40536
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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