KATIE KUBERG TUCKER


Address: 22136 Medical Village Drive, Athens, AL 35613
Phone: 2566485598

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics DO.2031 AL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

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

Other Providers KATIE TUCKER

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

Office Location

Street Address 22136 MEDICAL VILLAGE DRIVE
City ATHENS
State AL
Zip Code 35613

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ATHENS
Zip Code 35613

Improve Information

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Dataset Information

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.

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