DONALD TUCKER PLLC (NPI# 1154596120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154596120 |
| Entity Type | Organization |
| Organization Name | DONALD TUCKER PLLC |
| Practice Address |
100 William Northern Blvd Tullahoma TN 37388-4754 |
| Mailing Address |
100 William Northern Blvd Tullahoma TN 37388 |
| Practice Telephone | 9314540489 |
| Practice Fax Number | 9314542348 |
| Mailing Telephone | 9314540489 |
| Mailing Fax Number | 9314542348 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | DONALD V TUCKER JR. (MEDICAL DOCTOR) |
| Authorized Official Telephone | 9314540489 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD024197 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1505159 | 05 | |
| TN | BCBS | 4185013 | 01 |
| Street Address |
100 WILLIAM NORTHERN BLVD |
| City | TULLAHOMA |
| State | TN |
| Zip Code | 37388-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881658243 | Adult & Pediatric Dermatology of Tullahoma PC | Dermatology | 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 | 2006-04-13 |
| 1841800851 | Arthur Davies Md, Pllc | Family Medicine | 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 2020-08-04 |
| 1093340630 | Tara Beth Tye | Nurse Practitioner | 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 2020-03-04 |
| 1295268654 | Jennifer Tallman | Nurse Practitioner | 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 2017-04-04 |
| 1770821365 | Arthur Davies | Emergency Medicine | 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 2013-01-17 |
| 1851546469 | Lauren E Martin | Physician Assistant | 100 William Northern Blvd, Tullahoma, TN 37388-5407 | 2008-11-24 |
| 1275796880 | Family Practice Center of Tullahoma LLC | Family Medicine | 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 2008-07-03 |
| 1235304213 | John D Patsimas Md | Family Medicine | 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 2008-04-29 |
| 1881869865 | Olan B Kemp | Family Medicine | 100 William Northern Blvd, Tullahoma, TN 37388-4754 | 2008-04-29 |
| 1932251873 | Ken T Takegami | Dermatology | 100 William Northern Blvd, Suite C, Tullahoma, TN 37388 | 2007-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183628 | Angela Michelle Sowers | Dietitian, Registered | 1801 North Jackson St, Tullahoma, TN 37388 | 2017-09-09 |
| 1194242669 | Haley D Stewart | Speech-Language Pathologist | Top Rehab Services, Inc, 2110 N. Jackson Street, Tullahoma, TN 37388 | 2017-08-25 |
| 1295263150 | Kelli Elaine Spencer | Nurse Practitioner | Partners for Healing, 109 West Blackwell Street, Tullahoma, TN 37388 | 2017-05-23 |
| 1932651486 | Adam Snider | Physical Therapy Assistant | 1321 Cedar Lane, Tullahoma, TN 37388 | 2016-11-01 |
| 1891240743 | Elizabeth Riddle | Nurse Practitioner | 1805 N Jackson St Ste 11, Tullahoma, TN 37388 | 2016-08-22 |
| 1720437189 | Ronda Schrimsher | Peer Specialist | 108 E Lauderdale St, Tullahoma, TN 37388 | 2016-06-07 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1285051698 | Ashley Mcmurtry | Physical Therapist | 2110 N. Jackson Street, Tullahoma, TN 37388 | 2014-03-24 |
| 1093150575 | Orthopedic Braces | Case Management | 206 Westside Dr, Tullahoma, TN 37388 | 2013-05-09 |
| 1427397199 | Kristina Danette Carter | Pharmacist | 104 North Jackson Street, Tullahoma, TN 37388 | 2013-01-31 |
| Find all providers in zip 37388 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063510634 | Francisco Vallejo | Internal Medicine | 711 North Atlantic Street, Tullahoma, TN 37388 | 2006-09-20 |
| 1831296359 | Bill B Hollins | Internal Medicine | 4450 New Manchester Hwy, Tullahoma, TN 37388-6756 | 2006-09-19 |
| 1679566772 | Rimda Gupta | Internal Medicine | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2283 | 2005-08-24 |
| 1942484787 | Coffee County Internal Medicine,pc | Internal Medicine | 1330 Cedar Ln, Suite 1200, Tullahoma, TN 37388-2283 | 2007-12-27 |
| 1093912487 | Anjalie Julie Joshi | Internal Medicine | 1801 N Jackson St, Tullahoma, TN 37388-8259 | 2007-06-28 |
| 1538384375 | Robert Hiram Nichols Jr. | Internal Medicine | 1805 N Jackson St, Suite 100, Tullahoma, TN 37388-2290 | 2007-04-16 |
| 1053430439 | Tullahoma Internal Medicine, Pllc | Internal Medicine | 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388-2283 | 2007-03-28 |
| 1760577621 | Deborah Rose Sanders | Internal Medicine | 1805 N Jackson St, Bldg A Ste 100, Tullahoma, TN 37388 | 2006-10-04 |
| 1811094022 | Internal Medicine Associates of Tullahoma PC | Internal Medicine | 1805 N Jackson St, Bldg A Suite 100, Tullahoma, TN 37388 | 2006-09-20 |
| 1780797464 | Stephen Hunter Bills | Internal Medicine | 1805 N Jackson St, Bldg A Suite 100, Tullahoma, TN 37388 | 2006-08-16 |
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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.