DR. RALPH WILLIAM TACK M.D. MPH NPI 1578620621

NPI Information

  • NPI: 1578620621
  • Provider Name: DR. RALPH WILLIAM TACK, M.D., MPH
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Individual
  • Address: 715 S TAFT AVE
    FREMONT, OH
    ZIP 43420
  • Phone: (419) 333-2738

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NPI Details

DR. Ralph William Tack, M.D., MPH is a preventive medicine/occupational environmental medicine preventive medicine in Fremont, OH. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. DR. Ralph William Tack, M.D., MPH NPI is 1578620621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

715 S TAFT AVE
FREMONT, OH
ZIP 43420-200
Phone: (419) 333-2738
Fax: (419) 333-6416

The enumeration date for this NPI number is 1/1/2007 and was last updated on 3/1/2010.

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
1207Q00000XFamily Medicine35048041OHIONo
22083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine35048041OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
135048041OTHEROHIOMEDICAL LICENSE
2L60246MEDICARE ID-TYPE UNSPECIFIED
3C51307MEDICARE UPIN

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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