National Provider Identifier
Austin Tyler Thacker, DO
Austin Tyler Thacker, DO is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Batavia, NY and a listed phone number of (585) 343-6030.
Profile Overview
- NPI
- 1992382121
- Provider Type
- Individual
- Primary Specialty
- Hospitalist Physician
- Enumeration Date
- March 25, 2021
- Last Updated
- October 03, 2024
Practice Location
- 127 North St
- Batavia, NY 14020-1631
Phone: (585) 343-6030
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Hospitalist Physician (208M00000X)
- Family Medicine Physician (207Q00000X)
Endpoints
- athacker323757@direct.rochesterregional.org
Direct Messaging Address | Direct | Batavia, NY 14020
Full Record
- NPI
- 1992382121
- Entity Type
- Individual
- Last Name
- Thacker
- First Name
- Austin
- Middle Name
- Tyler
- Name Prefix
- Dr.
- Credential
- DO
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 127 North St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-1631
- Practice Country
- US
- Practice Phone
- (585) 343-6030
- Enumeration Date
- March 25, 2021
- Last Updated
- October 03, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hospitalist Physician (208M00000X), Family Medicine Physician (207Q00000X)