SHILOH TACKETT NPI 1336567643

NPI Information

  • NPI: 1336567643
  • Provider Name: SHILOH TACKETT
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5087 N ROYAL DR
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 935-0440

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NPI Details

Shiloh Tackett is an internal medicine in Traverse City, MI with 11 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Shiloh Tackett NPI is 1336567643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

5087 N ROYAL DR
TRAVERSE CITY, MI
ZIP 49684-987
Phone: (231) 935-0440
Fax: (231) 935-0445

The NPI 1336567643 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Test to examine how well the lungs exchange gases (HCPCS:94729)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Test to determine lung volumes using sensors (HCPCS:94726)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Critical care, each additional 30 minutes (HCPCS:99292)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes (HCPCS:31653)

The enumeration date for this NPI number is 4/3/2014 and was last updated on 4/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine4301502100MICHIGANYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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