Individual provider · Type 1 NPI

James Faird Tackett, MD

Emergency Medicine Physician · Peoria, IL

NPI number 1699787804 Active

Practice location

221 NE Glen Oak Ave
Peoria, IL 61636-0001

Call (309) 999-1091 Map

Mailing address

RR 1 Box 46-25
Red House, WV 25168-9713

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XMD.30275 (AL)
Internal Medicine Physician 207R00000XTL7008 (WY)
Emergency Medicine Physician 207P00000X036-117166 (IL)
Emergency Medicine Physician 207P00000X7956 (WV)
Emergency Medicine Physician Primary 207P00000XME107562 (FL)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1699787804

James Faird Tackett, MD's National Provider Identifier is 1699787804, issued on Aug 13, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Peoria, IL. The record was last updated on Apr 7, 2025.