Douglas Tacket Do Pllc
Douglas Tacket Do Pllc is a healthcare organization registered as Family Medicine Physician in Niles, MI, holding Type 2 (organization) NPI 1023145703 since 2007. The authorized official on file is Douglas Tacket, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1023145703 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Douglas Tacket Do Pllc |
| Practice address | 24 N SAINT JOSEPH AVE, SUITE G, Niles, MI, 49120 |
| Phone | 2696845002 |
| Enumeration date | 2007-02-28 |
| Last updated in NPPES | 2010-03-15 |
Authorized official
| Name | Douglas Tacket |
|---|---|
| Title | Owner |
| Phone | 2696845002 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | 5101012140 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4560327 | Medicaid | MI | — |
Copy-ready billing details
Provider: Douglas Tacket Do Pllc NPI: 1023145703 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 24 N SAINT JOSEPH AVE, SUITE G, Niles, MI, 49120
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1952336653 | Florentino Aquino | Individual | Surgery Physician | Niles, MI |
| 1992826366 | Tracy J Tacket Do Pllc | Organization | Family Medicine Physician | Niles, MI |
| 1225256712 | Joe Francisco | Individual | Clinical Social Worker | Niles, MI |
| 1629277439 | Paul V Detrisac MD PC | Organization | Internal Medicine Physician | Niles, MI |
| 1609063551 | West Michigan Hearing Specialists LLC | Organization | Audiologist-Hearing Aid Fitter | Niles, MI |
| 1285805879 | Cardiovascular Diseases of Niles, P.C. | Organization | Cardiovascular Disease Physician | Niles, MI |
| 1588964415 | Michelle Ridenour | Individual | Audiologist-Hearing Aid Fitter | Niles, MI |
| 1164862181 | Michael Flewelling | Individual | General Practice Dentistry | Niles, MI |
Verify this record
Cross-check NPI 1023145703 against the authoritative CMS record: view Douglas Tacket Do Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Douglas Tacket Do Pllc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-03-15.