KATIE KUBERG TUCKER (NPI# 1003264904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003264904 |
Entity Type | Individual |
Full Name | KATIE KUBERG TUCKER |
Credential | D.O. |
Practice Address |
22136 Medical Village Drive Athens AL 35613 |
Mailing Address |
22136 Medical Village Drive Athens AL 35613-2940 |
Practice Telephone | 2566485598 |
Practice Fax Number | 8336031295 |
Mailing Telephone | 2566485598 |
Mailing Fax Number | 8336031295 |
Enumeration Date | 2016-06-01 |
Last Update Date | 2020-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | DO.2031 | AL | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
800 Pennsylvania Ave, Charleston, WV 253023351 | 3044141880 | 3044141886 |
23800 John T Reid Pkwy, Scottsboro, AL 35768 | 2569990808 | |
22136 Medical Village Drive, Athens, AL 35613 | 0000000000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083182992 | Katie Weatherman Tucker | Nurse Practitioner | 1085 Ne Gateway Ct Ne Ste 180, Concord, NC 28025-2407 | 2018-11-08 |
Street Address |
22136 MEDICAL VILLAGE DRIVE |
City | ATHENS |
State | AL |
Zip Code | 35613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669622320 | Robin Dollar St Pierre | Nurse Practitioner | 22136 Medical Village Drive, Athens, AL 35613 | 2008-09-30 |
1669091120 | Hometown Pediatrics LLC | Pediatrics | 22136 Medical Village Drive, Athens, AL 35613 | 2020-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
1720565963 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 22454 Us Hwy 72, Suite 120, Athens, AL 35613 | 2018-07-20 |
1881142099 | Sheri L Korby | Audiologist | 15232 Greenfield Dr., Athens, AL 35613 | 2016-09-16 |
1467834119 | Aaa Medical Equipment & Supply, Inc | Durable Medical Equipment & Medical Supplies | 22923 Us Highway 72 Ste C, Athens, AL 35613 | 2015-06-18 |
1215166152 | Megan Morris Evans | Optometrist | 22097 Medical Village Drive, Athens, AL 35613 | 2009-07-14 |
1639329402 | Adam Marc Simpson | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2008-09-29 |
1912050352 | Valley Ent Assoc. P.C. | Specialist | 15232 Greenfield Dr, Athens, AL 35613 | 2007-01-19 |
1588745947 | Michael Lynn Hedgepeth | Chiropractor | 27453 Capshaw Road Suite B, Athens, AL 35613 | 2006-10-18 |
1881781268 | Athens Eye Care Center, P.C. | Optometrist | 22984 Us Highway 72, Athens, AL 35613 | 2006-10-06 |
1942225602 | The Center for Cancer Care, PC | Clinic/Center | 22281 Hwy 72 E, Athens, AL 35613 | 2006-07-13 |
Find all providers in zip 35613 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275950420 | Meredith Grace Merkley | Pediatrics | 6561 Lemaster Rd, Athens, OH 45701-9134 | 2014-03-26 |
1356661599 | Amy Marie Zidron | Pediatrics | 24 W Green Dr Ste 329, Athens, OH 45701-2974 | 2010-06-10 |
1003131244 | James Nicholas Frisk | Pediatrics | 125 Telfair Pl, Athens, GA 30606-3237 | 2010-03-31 |
1982898383 | Victor E Payton Md, PC | Pediatrics | 700 Oglethorpe Ave # 3, Athens, GA 30606-2221 | 2007-08-29 |
1083771398 | Patrick E Phelan | Pediatrics | 1500 Oglethorpe Ave Bldg 600, Athens, GA 30606-2179 | 2007-01-03 |
1346303575 | Christian D Lindsey | Pediatrics | 1500 Oglethorpe Ave Ste 600a, Athens, GA 30606-2185 | 2006-12-19 |
1881757193 | Athen Kids Specialists P.c | Pediatrics | 650 Oglethorpe Ave., Ste 4, Athens, GA 30303-2216 | 2006-12-18 |
1386726446 | Bibi Lee Teng | Pediatrics | 1005 West Market Street, Suite 4, Athens, AL 35611 | 2006-10-19 |
1316049059 | Saji K Gopinathan | Pediatrics | 119 Epperson St, Athens, TN 37303-3478 | 2006-09-02 |
1750306429 | Venkatappa N Murthy | Pediatrics | 555 Research Dr, Athens, GA 30605-2729 | 2006-07-13 |
Find all providers in ATHENS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.