Doctor profile · Federal record
Dr. Jock Thacker
Student in an Organized Health Care Education/Training Program · Detroit, MI
- NPI 1306409776
- 7 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4201 St. Antoine Street, 6C, University Health Center
Detroit, MI 48201
(313) 577-5009 - Mailing address
-
2600 Milscott Dr Apt 2307
Decatur, GA 300336040
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1306409776. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$328
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 1 | $149.62 | |
| Edwards Lifesciences Corporation | 2 | $134.89 | |
| ConvaTec Inc. | 1 | $25.23 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $17.78 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
12
Patients
12
Total drug cost
$24
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 12 | 12 | $24 |
Frequently asked questions
What is Dr. Jock Thacker's medical specialty?
Dr. Jock Thacker practices Student in an Organized Health Care Education/Training Program in Detroit, MI.
Where does Dr. Jock Thacker practice?
Dr. Jock Thacker practices at 4201 St. Antoine Street, Detroit, MI 48201. Office phone: 3135775009.
What is Dr. Jock Thacker's NPI?
Dr. Jock Thacker's National Provider Identifier (NPI) is 1306409776, issued by NPPES.