DR PAMELA TUCK LLC (NPI# 1558479162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558479162 |
| Entity Type | Organization |
| Organization Name | DR PAMELA TUCK LLC |
| Practice Address |
300 Taylor Rd Suite 600 Montgomery AL 36117-3521 |
| Practice Telephone | 3343967865 |
| Practice Fax Number | 3343967868 |
| Mailing Telephone | 3343967865 |
| Mailing Fax Number | 3343967868 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | DR. PAMELA P TUCK (OWNER) |
| Authorized Official Telephone | 3343967865 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 00023723 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE | K806 | 01 |
| Street Address |
300 TAYLOR RD SUITE 600 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208681 | Baptist Ventures-ahp Homecare Alliance of Montgomery | Durable Medical Equipment & Medical Supplies | 300 Taylor Rd, Suite 500, Montgomery, AL 36117-3571 | 2005-07-07 |
| 1164748117 | Aesthetic Dermatology | Dermatology | 300 Taylor Rd, Suite 800, Montgomery, AL 36117-3521 | 2010-04-15 |
| 1386793925 | Nga Athena Phan | Dermatology | 300 Taylor Rd, Suite 100, Montgomery, AL 36117-3521 | 2007-01-10 |
| 1720048275 | Pamela Pollard Tuck | Family Medicine | 300 Taylor Rd, Suite 600, Montgomery, AL 36117-3521 | 2006-03-27 |
| 1801865241 | Margaret Turkleson | Surgery | 300 Taylor Rd, Suite 900, Montgomery, AL 36117-3521 | 2006-03-17 |
| 1902880495 | Primary Care for Adults P C | Internal Medicine | 300 Taylor Rd, Suite 700, Montgomery, AL 36117-3521 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295147106 | American Family Care, Inc. | General Practice | 2815 East Blvd, Montgomery, AL 36116-1021 | 2014-05-27 |
| 1104182682 | Senior House Call Physicians of Texas, Pllc | General Practice | 179 April Waters Dr N, Montgomery, TX 77356-8826 | 2012-04-09 |
| 1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
| 1154400018 | Arthur G O'leary | General Practice | 53 Beyers Rd, Montgomery, NY 12549-2322 | 2006-11-03 |
| 1760490411 | Richard A Stehl | General Practice | 4135 Atlanta Hwy, Montgomery, AL 36109-3022 | 2006-08-04 |
| 1699781005 | American Family Care, Inc. | General Practice | 2570 Berryhill Rd, Montgomery, AL 36117-3564 | 2006-07-31 |
| 1124070149 | Adin Lim Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-17 |
| 1417913948 | Continuity Healthcare Inc | General Practice | 4212 Carmichael Ct N, Montgomery, AL 36106-3621 | 2006-04-24 |
| 1699747709 | Ashley Darnell Mcintyre | General Practice | 129 Mitylene Park Ln, Montgomery, AL 36117-7302 | 2006-02-02 |
| 1265803803 | Audra Gabrielson Kerns | General Practice | 1855 Halcyon Blvd, Montgomery, AL 36117-8044 | 2015-10-08 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on DR PAMELA TUCK LLC.
| 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.