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NPI · 1174500177 · NPPES-sourced

Jackson Thatcher

ActiveInterventional Cardiology
NPI Number
1174500177
Type 1 · Individual
Taxonomy Code
207RI0011X
Contact
(952) 993-3246
License MN · 31870
Last Updated
Enumerated
Primary practice addressMN · 55426-4702
6500 Excelsior BlvdSt Louis Park, MN 55426-4702
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About this NPIWhat this record shows.

NPI 1174500177 is registered to Jackson Thatcher, a Interventional Cardiology practising at 6500 Excelsior Blvd in St Louis Park, Minnesota. Interventional Cardiology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jackson Thatcher has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jackson Thatcher accepts. To confirm in-network status with your specific health plan, contact Jackson Thatcher directly at (952) 993-3246.

Frequently asked

Yes. NPI 1174500177 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Interventional Cardiology is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (952) 993-3246.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jackson Thatcher is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207RI0011X
Last updated
Enumerated
StatusActive
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10 records · same addressOther providers at this location.

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Same specialtyOther Interventional Cardiology providers in Minnesota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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