DR. DOROTHEA TUCKER (NPI# 1629104716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629104716 |
| Entity Type | Individual |
| Full Name | DR. DOROTHEA TUCKER |
| Credential | M.D. |
| Practice Address |
3445 Box Hill Corporate Center Dr E Abingdon MD 21009-1223 |
| Mailing Address |
3026 Weaver Ave Baltimore MD 21214-3401 |
| Practice Telephone | 4105153500 |
| Practice Fax Number | 4105152504 |
| Mailing Telephone | 4109515000 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | D0029775 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
3445 BOX HILL CORPORATE CENTER DR E |
| City | ABINGDON |
| State | MD |
| Zip Code | 21009-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962838607 | Bethany Elyse Kane | Physician Assistant | 3445 Box Hill Corporate Center Dr, Abingdon, MD 21009-1223 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033657986 | Cpdg,ab, LLC | Dentist | 3400 Box Hill Corporate Center Drive, Suite 120, Abingdon, MD 21009 | 2017-02-10 |
| 1356734230 | Pardis Parizadeh | Dentist | 3435 Box Hill Corporate Center Dr Ste E, Abingdon, MD 21009 | 2015-03-16 |
| 1033529391 | Ademola O Cole | Dentist | 3486 C Emmorton Road, Abingdon, MD 21009 | 2014-05-07 |
| 1144649336 | Troy Michael Englehart II | Contractor | 1401 Pulaski Higjway, F, Edgewood, MD 21009 | 2014-04-15 |
| 1376964726 | Jessica L Brinegar | Physical Therapist | 3465 Box Hill Corporate Center Dr Ste G, Abingdon, MD 21009 | 2014-01-01 |
| 1790024016 | Pamela S Baer | Psychologist | 3105 Emmorton Road, Abingdon, MD 21009 | 2013-02-06 |
| 1205028271 | Ati Holdings, LLC | Durable Medical Equipment & Medical Supplies | 3491 Merchant Boulevard, Suite 108, Abingdon, MD 21009 | 2007-08-14 |
| 1306037627 | Jacquelin Landsman | Physical Therapist | Upper Chesapeake Orthopedics: Center for Sports Med, 101 Walter Ward Blvd, Abingdon, MD 21009 | 2007-08-05 |
| 1144373911 | Carol L Bowman | Internal Medicine | 3445 E Box Hill Corporate Center Drive, Abingdon, MD 21009 | 2007-01-18 |
| 1750467338 | Michael Kevin Block | Podiatrist | 3401 Box Hill Corporate Ctr Dr, Suite 201, Abingdon, MD 21009 | 2006-10-27 |
| Find all providers in zip 21009 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224794 | Doreen Jones | Family Medicine | 602 N Branch Ct, Abingdon, MD 21009-3220 | 2019-06-19 |
| 1073815015 | Virginia Health Care, PC | Family Medicine | 3206 Peverly Run Rd, Abingdon, MD 21009-2752 | 2010-11-24 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| 1154581437 | Tommy Dale Livesay | Family Medicine | 24530 Falcon Place Dr., Suite 100, Abingdon, VA 24211-7657 | 2008-06-11 |
| 1538255542 | William M Handy Md PC | Family Medicine | 389 Falls Dr Nw, Abingdon, VA 24210-8093 | 2006-10-05 |
| 1407872807 | Clara Jane Toothman | Family Medicine | 24294 Teal Drive, Abingdon, VA 24211-6160 | 2006-07-15 |
| 1336181593 | Bruce Carter Higinbothom | Family Medicine | 445 Porterfield Hwy, Suite A, Abingdon, VA 24210 | 2006-06-12 |
| 1124017744 | William M Handy | Family Medicine | 389 Falls Nwdr, Abingdon, VA 24210-8093 | 2005-10-17 |
| 1033108857 | Abingdon Family Practice PC | Family Medicine | 617 Campus Dr, Abingdon, VA 24210-9700 | 2005-10-14 |
| 1447248745 | Laramie Curtis Triplett | Family Medicine | 613 Campus Dr, Suite 200, Abingdon, VA 24210-9703 | 2005-10-11 |
| Find all providers in ABINGDON | ||||
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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.