DR. PATRICK EDWIN TUCKER (NPI# 1295749349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295749349 |
| Entity Type | Individual |
| Full Name | DR. PATRICK EDWIN TUCKER |
| Credential | M.D. |
| Practice Address |
2668 S Harper Rd Corinth MS 38834-6770 |
| Mailing Address |
2601 Getwell Rd Ste 1 Corinth MS 38834-6762 |
| Practice Telephone | 6622877138 |
| Practice Fax Number | 6622877157 |
| Mailing Telephone | 6622877138 |
| Mailing Fax Number | 6622877157 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 12549 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00111263 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811327919 | Patrick Tucker | Counselor | 4211 N Oak Grove Dr, Midwest City, OK 73110-3338 | 2013-11-26 |
| 1154729804 | Patrick Clausen Tucker | Case Manager/Care Coordinator | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2014-12-11 |
| 1700290350 | Patrick W Tucker | Specialist/Technologist | 1375 E 20th Ave, Sleep Apnea Clinic, Denver, CO 80205-5422 | 2014-06-11 |
| 1952423568 | Patrick Tucker | Nurse Anesthetist, Certified Registered | 11414 Lake Sherwood Ave N, Baton Rouge, LA 70816 | 2007-04-04 |
| Street Address |
2668 S HARPER RD |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-6770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699042754 | Melissa Bearden Morgan | Nurse Practitioner | 2668 S Harper Rd, Suite 1, Corinth, MS 38834-6770 | 2011-11-17 |
| 1295035962 | Christina Stricklen Williams | Nurse Practitioner | 2668 S Harper Rd, Suite 1, Corinth, MS 38834-6770 | 2010-10-28 |
| 1629199633 | Jacqueline A Fraiser | Nurse Practitioner | 2668 S Harper Rd, Suite 1, Corinth, MS 38834-6770 | 2007-04-03 |
| 1760575690 | John Randall Beaty | Chiropractor | 2668 S Harper Rd, Suite 1a, Corinth, MS 38834-6770 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811041155 | Ceferino Reyes Villa Fuerte Jr. | General Practice | 200 Smith Drive, Adirondack Clinic, Corinth, NY 12822 | 2007-01-23 |
| 1316059405 | Physicians Urgent Care of Corinth, P.a. | General Practice | 2601 Getwell Rd Ste 1, Corinth, MS 38834-6762 | 2006-08-31 |
| 1437685278 | Magnolia Primary Care | General Practice | 202 Alcorn Dr, Corinth, MS 38834-9701 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260329 | Good Shepard LLC | General Practice | 632 Lakeland East Dr, Flowood, MS 39232-9565 | 2020-09-16 |
| 1518500677 | Nettleton Medical Express Care LLC | General Practice | 7230 Highway 45 N Ste B, 32610 Hwy 45 N, Nettleton, MS 38858 | 2019-10-22 |
| 1780241729 | Southeast Reginald Solutions,pllc | General Practice | 310 River Forest Ln, Brandon, MS 39047-7020 | 2019-05-24 |
| 1235601907 | William Carey University | General Practice | 710 William Carey Pkwy, Hattiesburg, MS 39401-7842 | 2018-12-19 |
| 1770050908 | Thompson Medical Service, LLC | General Practice | 1200 Hwy 15 North, Blue Mountain, MS 38610 | 2018-10-25 |
| 1790265932 | Antonio Reyes Del Castillo Jr. | General Practice | 590 Parchman Road 12, Parchman, MS 38738-3001 | 2018-08-16 |
| 1700397239 | Marysol Camejo Romero | General Practice | 728 Benwick Dr, Brandon, MS 39047-8111 | 2017-10-24 |
| 1013431519 | Madena Jane Gibson | General Practice | 1695 Moses Rd, Raymond, MS 39154-8766 | 2017-07-27 |
| 1942740188 | Personalized Wellness | General Practice | 573 Highway 51 Ste D, Ridgeland, MS 39157-2605 | 2017-03-07 |
| 1366991523 | Jackson State University | General Practice | 1400 Jr Lynch St, Jackson, MS 39217-0002 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
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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.