1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Surgery
  6. NPI Profile

DR. LADDIE L TACKETT M.D.
NPI 1104975051
Surgery in Louisville, KY

Active since January 09, 2007
13550 TRITON PARK BLVD FL 4, ANTHEM BLUE CROSS AND BLUE SHIELD, LOUISVILLE, KY 40223(502) 889-2711(502) 889-2783 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Laddie L Tackett M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LADDIE L TACKETT M.D. (NPI 1104975051) is an individual surgery provider in Louisville, Kentucky, licensed in Kentucky (19626) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1104975051
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. LADDIE L TACKETTCredential: M.D.
Location Address13550 TRITON PARK BLVD FL 4, ANTHEM BLUE CROSS AND BLUE SHIELDLouisville, KY 40223-4194
Mailing Address13550 Triton Park Blvd Fl 4, Anthem Blue Cross And Blue ShieldLouisville, KY 40223-4194 · (502) 889-2711 · Fax (502) 889-2783
Phone(502) 889-2711
Fax(502) 889-2783
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104975051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 19626
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
13550 TRITON PARK BLVD FL 4, Louisville, KY 40223
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laddie Tackett's NPI number?

The NPI number for Laddie Tackett is 1104975051. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Laddie Tackett located?

Laddie Tackett practices at 13550 Triton Park Blvd Fl 4 Anthem Blue Cross And Blue Shield, Louisville, KY 40223. The listed phone number is (502) 889-2711.

What is Laddie Tackett's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Laddie Tackett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.