Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jason W Thackeray, MD

Individual provider Orthopaedic Surgery Physician · NPI 1235133646

Dr. Jason W Thackeray, MD is an Orthopedic Surgery in Fort Walton Beach, Florida. Graduated from University of Florida College of Medicine in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1034 Mar Walt Dr Ste 100
Fort Walton Beach, FL 32547-6645
Phone: (850) 863-2153
Fax: (850) 863-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence ME77615 (FL)

Record details

NPI number1235133646
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2005
Last updated in NPPESOctober 29, 2020
Certification dateOctober 29, 2020
Mailing address1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6645

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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