REBECCA SUZANNA KING-TUCKER (NPI# 1346463205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346463205 |
| Entity Type | Individual |
| Full Name | REBECCA SUZANNA KING-TUCKER |
| Other Name | REBECCA SUZANNA KING |
| Credential | M.D. |
| Practice Address |
110 W Honey Creek Pkwy Terre Haute IN 47802-4114 |
| Practice Telephone | 8122322890 |
| Practice Fax Number | 3179885511 |
| Mailing Telephone | 8122322890 |
| Mailing Fax Number | 3179885511 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
01077239A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500628245 | 05 | |
| MEDICARE PTAN | 011003081 | 01 | |
| OR | OREGON MEDICAL LICENSE | 171576 | 01 |
| Street Address |
110 W HONEY CREEK PKWY |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962504043 | Phyllis Anne Scott | Registered Nurse | 110 W Honey Creek Pkwy, Terre Haute, IN 47802-4114 | 2006-09-01 |
| 1932604865 | Helen Frances Mcqueary | Licensed Practical Nurse | 110 W Honey Creek Pkwy, Terre Haute, IN 47802-4114 | 2018-03-23 |
| 1841681418 | Christa Sutton | Social Worker | 110 W Honey Creek Pkwy, Terre Haute, IN 47802-4114 | 2015-02-18 |
| 1740501667 | Donna Lynn Strole | Licensed Practical Nurse | 110 W Honey Creek Pkwy, Terre Haute, IN 47802-4114 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550445 | Indiana University Health Fort Wayne Physicians, LLC | Family Medicine | 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 | 2020-08-28 |
| 1336751312 | Indystathealthedu, LLC | Family Medicine | 5699 E 71st St Ste 1a, Indianapolis, IN 46220-3987 | 2020-08-20 |
| 1356864219 | Mobile Primary Care, LLC | Family Medicine | 14074 Trade Center Dr Ste 213, Fishers, IN 46038-4592 | 2017-07-24 |
| 1962822106 | Patient Care Services Team | Family Medicine | 939 Conner St Ste 200, Noblesville, IN 46060-2622 | 2014-04-25 |
| 1396002408 | Indiana Home Care Physicians Inc | Family Medicine | 7895 Broadway Ste V, Merrillville, IN 46410-5529 | 2012-04-13 |
| 1275802993 | Certified Physician Solutions | Family Medicine | 541 N Park Ave, Indianapolis, IN 46202-3513 | 2011-12-27 |
| 1336377670 | Nikki L O'rourke | Family Medicine | 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381 | 2009-06-25 |
| 1932304417 | George W Merkle Md PC | Family Medicine | 360 N Main St Ste A, Bluffton, IN 46714-2041 | 2007-06-15 |
| 1891871026 | Mohammad A Rahmany | Family Medicine | 2914 Highway Ave, Highland, IN 46322-1656 | 2006-10-31 |
| 1780777177 | Lula G. Porter | Family Medicine | 4666 Radnor Road, Indianapolis, IN 46226-2154 | 2006-09-30 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
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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.