MR. JIM R TACKETT PA-C
NPI 1104882083
Physician Assistant in Lexington, KY

NPI Status: Active since April 21, 2006

Contact Information

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502
Phone: (859) 233-4511

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  • Individual
  • Male
  • Physician Assistant

About JIM TACKETT

This page provides the complete NPI Profile along with additional information for Jim Tackett, a primary care provider established in Lexington, Kentucky with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1104882083 assigned on April 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA553 (KY). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1104882083
Provider Name
MR. JIM R TACKETT PA-C
Gender
Male
Entity Type
Individual
Location Address
1101 VETERANS DR LEXINGTON, KY 40502
Location Phone
(859) 233-4511
Mailing Address
2150 ELMFORK RD NICHOLASVILLE, KY 40356
Mailing Phone
(859) 887-9163
Is Sole Proprietor?
No
Enumeration Date
04-21-2006
Last Update Date
02-24-2011
Code Navigator

A primary care provider (PCP) like Jim Tackett sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA553
License State
KY
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104882083
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041684016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 8 + 4 + 0 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1104882083 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. JON STANLEY DEMOS MD

Urology

1101 VETERANS DR
RM A509A-CDD
LEXINGTON, KY
ZIP 40502

(859) 281-4964

RAYUDU B POLISETTY M.D.

Radiology

(Diagnostic Radiology)

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 233-4511

MS. PATRICIA GOULD MCMINN PT

Physical Therapist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 233-4511

MR. MICHAEL KEVIN GAMBREL PT

Physical Therapist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 281-5205

MS. ANNA B DUNCAN MS, OTR/L

Occupational Therapist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 233-4511

BRAD CARY RANTA P.T.

Physical Therapist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 281-4926

MS. MARY SACCHET GRAY MS

Speech-Language Pathologist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 281-4972

MRS. LYN R TINDALL M.S.

Speech-Language Pathologist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 233-4511

MICHELE RITCHEY SMILEY PT

Physical Therapist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 233-4511

JILL RENEE JOHNSON PHARMD

Pharmacist

(Pharmacotherapy)

1101 VETERANS DR
PHARMACY SERVICE #119-CDD
LEXINGTON, KY
ZIP 40502

(859) 233-4511

DR. MATTHEW LANE PHARM.D.

Pharmacist

(Pharmacotherapy)

1101 VETERANS DR
CD-119
LEXINGTON, KY
ZIP 40502

(859) 233-4511

DR. JENNIFER L BROACH PH.D.

Psychologist

(Clinical)

1101 VETERANS DR
VA MEDICAL CENTER (116A4-LD)
LEXINGTON, KY
ZIP 40502

(859) 281-3817

MS. SHERRI REFFETT OTR/L

Occupational Therapist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 233-4511

MARY CAROLINE JOHNSON M.A.

Speech-Language Pathologist

1101 VETERANS DR
126-CDD
LEXINGTON, KY
ZIP 40502

(859) 281-4972

DR. ADRIENNE WINKLER MATSON PHARM.D.

Pharmacist

(Pharmacotherapy)

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 233-4511

JEFFREY SCOTT HEALANDER OTR/L

Occupational Therapist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 233-4511

DR. DANIEL PAUL REESE M.D.

Anesthesiology

1101 VETERANS DR
ANESTHESIOLOGY DEPT
LEXINGTON, KY
ZIP 40502

(859) 281-4906

MS. TARA LATZO HOWELL OTL

Occupational Therapist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 233-4511

DR. COURTNEY LYNN COOPER AUD

Audiologist

1101 VETERANS DR
LEXINGTON, KY
ZIP 40502

(859) 281-4972

DR. JAMIE B KNIGHT PHARM.D.

Pharmacist

(Pharmacotherapy)

1101 VETERANS DR
PHARMACY DEPT (CD-119)
LEXINGTON, KY
ZIP 40502

(859) 233-4511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104882083, enumerated as an "individual" on April 21, 2006.

The provider is located at 1101 VETERANS DR LEXINGTON, KY 40502 and the phone number is (859) 233-4511.

Physician Assistant with taxonomy code 363A00000X.