Jack Ronald Tacker, M.D.
General Practice Physician · Poulsbo, WA
Jack Ronald Tacker, M.D. is a general practice physician with a practice address in Poulsbo, Washington, and NPI 1336379403, issued on Jul 22, 2009. Check the license (Washington MD00028053, as entered in NPPES) on the Washington Medical Commission; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jack Ronald Tacker
- Credential
- M.D.
- Primary taxonomy
- General Practice Physician 208D00000X
- License number
- MD00028053 WA
Self-reported in NPPES; status is on the state search - Practice location
- 19160 Front St NE, Poulsbo, WA 98370
- Phone
- (360) 779-7500
- Enumerated
- Jul 22, 2009
- Record last updated
- Jun 5, 2013 (not updated in 13 years: call before relying on the address or phone)
- Fax
- (360) 626-0600
- Entity
- Type 1 · individual
8 nearest general practice physician records → All 388 in Washington → Look up another NPI →
Also registered at 19160 Front St NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jack Ronald Tacker in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWashington Medical Commission
Search for license MD00028053Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jack Ronald Tacker among 388 general practice physician records in Washington
Jack Ronald Tacker, M.D. is one of 388 general practice physician records with a practice address in Washington. 28% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2009, is newer than 36% of them.
- NPI issued2009 · 36% of these records are older, 62% newer
- In a Medicare fileNo · 28% of these records are
- In the CMS Doctors and Clinicians fileNo · 11% of these records are
- Record last updated2013 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
General Practice Physician providers in Washington
There are 388 general practice physician records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 388 in Washington → Every provider in Poulsbo → General Practice Physician nationwide →
The 8 general practice physician records with the nearest ZIP codes
- Ruth UrandPoulsbo, WA 983701902017510
- Marion Bartl, MDPort Townsend, WA 983681609896992
- Jonathan Collin, MDPort Townsend, WA 983681447318720
- Sandra Frister, M.D.Puyallup, WA 983721437125259
- Timothy Jolley, M.D.Puyallup, WA 983721407907504
- Joseph Rienstra, MDPort Townsend, WA 983681104264720
- Rumi Iqbal, MDPuyallup, WA 983731609921840
- Gerard Lasalle, MDPort Orchard, WA 983661376587899
Common questions
What is Jack Ronald Tacker, M.D.'s NPI number?
Jack Ronald Tacker, M.D.'s National Provider Identifier (NPI) is 1336379403, issued on Jul 22, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Jack Ronald Tacker, M.D. located?
The NPPES record lists a practice address at 19160 Front St NE, Poulsbo, WA, 98370. Phone: (360) 779-7500. Providers update this record themselves, so call before visiting.
How can I verify Jack Ronald Tacker, M.D.'s license?
NPPES lists Washington license number MD00028053, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.