DR. DUANE CARLTON TUCKER (NPI# 1538154612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538154612 |
| Entity Type | Individual |
| Full Name | DR. DUANE CARLTON TUCKER |
| Credential | M.D. |
| Practice Address |
Psc 41 Box 1952 Apo AE 09464-0020 |
| Mailing Address |
Psc 41 Box 1952 Apo AE 09464 |
| Practice Telephone | 011441473461138 |
| Mailing Telephone | 011441473461138 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | ME133817 | FL | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | GFE42087 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022380200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Sw Archer Rd #100279, Gainesville, FL 326100279 | 3525941942 |
| Street Address |
PSC 41 BOX 1952 |
| City | APO |
| State | AE |
| Zip Code | 09464-0020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154726347 | Marie Moore | Social Worker | Psc 41, Box 624, Apo, AE 09464 | 2014-10-30 |
| 1164792883 | Noelia Martinez | Military Health Care Provider | Psc 41, Box 4365, Apo, AE 09464-4365 | 2012-01-11 |
| 1679860332 | Mathew Patrick Mccauley | Psychologist | Psc 41, Box 2971, Apo, AE 09464 | 2011-07-01 |
| 1568697571 | Michelle Elizabeth Andrus Wills | Military Health Care Provider | Psc 41, Box 6004, Apo, AE 09464-9998 | 2009-05-19 |
| 1730323767 | Christopher M Dwyer | Military Health Care Provider | Psc 41, Box 4315, Apo, AE 09464-9998 | 2009-04-21 |
| 1154564375 | Tonya Rosetta Castellanos | Military Health Care Provider | Psc 41, Unit 5210 230, Apo, AE 09464-9998 | 2009-04-17 |
| 1225011695 | Susan Marie Tanis | Physical Therapist | Psc 41, Box 2391, Apo, AE 09464 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711579 | Jimbell Gray | Military Health Care Provider | Building #932, Apo, AE 09464 | 2018-12-16 |
| 1427334069 | Megan T Corbett | Military Health Care Provider | Psc 41 Box 4063, Apo, AE 09464 | 2011-10-27 |
| 1831354547 | Lisa Renee Murchison | Nurse Practitioner | Raf Lakenheath Ob/gyn, 48msgs/sgcg, Unit 5210 Boffx 230, Apo, AE 09464 | 2008-07-22 |
| 1548339716 | 48th Medical Support Squadron/sgsl | Military/U.S. Coast Guard Pharmacy | Raf Lakenheath Uk, Apo, AE 09464 | 2006-11-06 |
| 1790751964 | Tanya Angelique Bartlett | Social Worker | Psc 41 Box 3592, Apo, AE 09464 | 2006-02-27 |
| 1316925845 | Barbara B. Acevedo | Physician Assistant | 48 Mdg/sgop, Unit 5210, Apo, AE 09464 | 2006-01-05 |
| 1326026055 | Brien D Weston | Audiologist | Ear, Nose & Throat/48medical Group/sgosla, Raf Lakenheath, Apo, AE 09464 | 2006-01-04 |
| 1467430322 | Bruce E Sternke | Anesthesiology | 48 Mdg/sghc, Unit 5115, Apo, AE 09464 | 2006-01-02 |
| 1285622936 | Darrell Smith | Dentist | Psc 41 Box 5589, Apo, AE 09464 | 2005-10-07 |
| 1821084146 | Ellen Louise Leeke | General Practice | Family Practice, 48th Mdg/mdos/sgopf, Raf Lakenheath, Apo, AE 09464 | 2005-09-22 |
| Find all providers in zip 09464 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770879264 | Roberto A Belli | Dermatology | 121 Csh/brian Allgood Army Community Hospital, Dermatology Clinic, Apo, AP 96205 | 2011-06-22 |
| 1760453039 | Josef Frederick Doenges | Dermatology | Cmr 402, Lrmc, Dept of Dermatology, Apo, AE 09180-2194 | 2006-01-27 |
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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.