DAVE H. THACKER M.D. – NPI #1194704767
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

DAVE THACKER is a physician located in HILL AFB, UT. NPPES has assigned the NPI number 1194704767 to DAVE THACKER on January 12, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 DAVE THACKER below.

NPI Profile for
DAVE H. THACKER

NPI Number
1194704767
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVE H. THACKER
Credentials
M.D.
Primary location
7321 11TH ST
75 MDG/SGOPC
HILL AFB, UT 84056-5012
Phone: (801) 777-6804 Fax: (801) 586-4018
Mailing address
5144 VILLAGE WOOD CT
WEST VALLEY CITY, UT 84120-4585
Phone: (801) 982-1528 Fax:
Updated
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
208000000X
- Pediatrics (Primary)
UT 340105-1205

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.