Dr. Stephen Andrew Thacker
MD | Pediatric Infectious Diseases | Male
Dr. Stephen Andrew Thacker, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
Pediatric Infectious Diseases.
Current practice location of Dr. Stephen Andrew Thacker is
171 Ashley Ave, Charleston, South Carolina - 29425-8908. He can be contacted on phone at
843-792-1414.
Dr. Stephen Andrew Thacker is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Stephen Andrew Thacker is
1740473289 which was assigned by NPPES on 18 Aug, 2007 and it was last updated on 04 Aug, 2022.
Dr. Stephen Andrew Thacker license number is
87514 for Pediatrics Pediatric Infectious Diseases (2080P0208X) in South Carolina.
Dr. Stephen Andrew Thacker is trained to take care of children in the diagnosis, treatment and prevention of infectious diseases. Infectious Diseases pediatrician can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Complete Profile:
Dr. Stephen Andrew Thacker basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Infectious Diseases |
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| Provider Name : | Dr. Stephen Andrew Thacker |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Stephen Andrew Thacker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 171 Ashley Ave
Charleston, SC, 29425-8908
United States |
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| Phone Number : | 843-792-1414 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740473289 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Aug, 2007 |
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| Last Updated On : | 04 Aug, 2022 |
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Medicare Participation:
Dr. Stephen Andrew Thacker participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7315187374 |
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| Medicare Enrollment ID : | I20220623002595 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of North Carolina At Chapel Hill School Of Medicine |
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| Graduation Year : | 2007 |
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| Accepts Medicare? | Yes. Dr. Stephen Andrew Thacker accepts medicare insurance. |
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Group Practice Association:
Dr. Stephen Andrew Thacker is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Stephen Andrew Thacker is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| University Medical Associates | 6305758574 | 1198 | 171 Ashley Ave
Charleston, SC - 294258908
Ph: 8437921414 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stephen Andrew Thacker are as mentioned. Primary taxonomy code for Dr. Stephen Andrew Thacker, MD is
2080P0208X (Pediatrics Pediatric Infectious Diseases).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0208X | Pediatrics Pediatric Infectious Diseases | No | 069980 | GA |
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | Yes | 87514 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Stephen Andrew Thacker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| GA1606 | MEDICAID | SC | |
| P01198991 | Other | GA | RAILROAD MEDICARE |
| 003135051A | MEDICAID | GA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | direct.direct@musc.edu
| No affiliation | HIE
Health Information Exchange (HIE)
|
| 171 ASHLEY AVE,
CHARLESTON, SC, 29425-8908
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Business Location:
Patients can refer following map for directions to
Dr. Stephen Andrew Thacker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.