Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437151453 Individual Practitioner Male Practitioner

Dr. Jonathan David Thackeray , MD

Pediatrics - Child Abuse Pediatrics • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Thackeray, MD is a registered healthcare professional specializing in Pediatrics - Child Abuse Pediatrics in Dayton, OH. Practice services are available at 1 CHILDRENS PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Childrens Plz

Dayton, OH 454041815

Telephone 9376414000
Fax 9376413918
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics - Child Abuse Pediatrics in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Dayton, OH (15 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-12
Pediatrics - Child Abuse Pediatrics Primary Specialty

NUCC Taxonomy Code: 2080C0008X

State License OH 35.083628

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 35.083628

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2545026 (OH)

Secondary Practice Locations

1010 Valley St

Dayton, OH 454042070

Phone: 9376414000

410 Valley St

Dayton, OH 454041843

Phone: 9376414000

600 Buckskin Trl

Xenia, OH 453854108

Phone: 9376414623

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003808007

Doctor of Medicine (M.D.)

Dr. Ramakrishna Mutyala , MD

Pediatrics - Pediatric Gastroenterology

NPI 1013194802

Doctor of Medicine (M.D.)

Seth Kidwell , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1033533484

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Caitlyn Mccomb , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1033606017

Doctor of Medicine (M.D.)

Savana Howard , MS, NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1033675962

Master of Science, NNPBC

Lori Milliron , CPNP

Nurse Practitioner - Pediatrics

NPI 1043410830

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Business Mailing Address October 12, 2023

Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376413000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

Pediatrics (License #35.083628 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2022

Pediatrics (License #35.083628 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2021

Pediatrics (License #35.083628 in OH)

📍
Updated Practice Location January 06, 2021

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376414000)

📍
Updated Business Mailing Address January 06, 2021

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376413000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2021

Pediatrics (License #35.083628 in OH)

📍
Updated Practice Location April 27, 2018

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413931)

📍
Updated Business Mailing Address April 27, 2018

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413931)

NPI Profile Active January 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2016

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147223279)

📍
Updated Business Mailing Address January 15, 2016

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052664 (Tel: 6147223279)

👤
Provider Name / Credentials Updated January 15, 2016

Recorded as JONATHAN THACKERAY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2016

Pediatrics (License #35083628 in OH)

🟢
Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437151453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: October 12, 2023
Sole Proprietor: No

Mailing Address

Po Box 933432

Cleveland, OH 441930039

Phone: 9376413000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.