ERIN W. THACKERAY MD – NPI #1457472268
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

ERIN THACKERAY is a physician located in COON RAPIDS, MN. NPPES has assigned the NPI number 1457472268 to ERIN THACKERAY on April 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Oct 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ERIN THACKERAY below.

NPI Profile for
ERIN W. THACKERAY

NPI Number
1457472268
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ERIN W. THACKERAY
Credentials
MD
Primary location
9145 SPRINGBROOK DR NW STE 200
COON RAPIDS, MN 55433-5886
Phone: (612) 871-1145 Fax:
Mailing address
PO BOX 14909
MINNEAPOLIS, MN 55414-0909
Phone: (612) 871-1145 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ERIN THACKERAY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMN MEC RAILROADMNP01034526
medicaidMN252403000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
MN 499874

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ERIN THACKERAY is affiliated with the following medical group(s):
  • HOSPITAL
    • ESSENTIA HEALTH DEER RIVER
      115 10TH AVENUE NORTHEAST
      DEER RIVER, MN 56636
    • ESSENTIA HEALTH DULUTH
      502 EAST SECOND STREET
      DULUTH, MN 55805
    • ESSENTIA HEALTH ST MARY'S MEDICAL CENTER
      407 EAST THIRD STREET
      DULUTH, MN 55805
    • SPOONER HEALTH SYSTEM
      1280 CHANDLER DR
      SPOONER, WI 54801
    • ST MARYS HOSPITAL SUPERIOR
      3500 TOWER AVE
      SUPERIOR, WI 54880

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