DR. ANTHONY TODD TUCKER (NPI# 1700048683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700048683 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY TODD TUCKER |
| Credential | MD |
| Practice Address |
120 Cypress Edge Dr Suite 202 Palm Coast FL 32164-8411 |
| Practice Telephone | 3865864462 |
| Practice Fax Number | 3865864463 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2012-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | PENDING | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063482883 | Anthony Tucker | Anesthesiology | 8301 Wisconsin Ave, Bethesda, MD 20810-0001 | 2006-01-24 |
| 1043833866 | Anthony D Tucker | Behavior Technician | 510 Whispering Wind Dr Ste 110, Tracy, CA 95377-8119 | 2020-05-27 |
| 1831470038 | Anthony Tucker | Counselor | 234 N Magnolia Ave, El Cajon, CA 92020-3906 | 2011-08-31 |
| 1356421366 | Anthony Tucker | Emergency Medicine | 1840 Eldron Blvd Se Ste 1, Palm Bay, FL 32909-6871 | 2006-10-16 |
| Street Address |
120 CYPRESS EDGE DR SUITE 202 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-8411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528048147 | David Matthew Karaffa | Psychiatry & Neurology | 120 Cypress Edge Dr, Suite 206, Palm Coast, FL 32164-8411 | 2006-01-19 |
| 1386126720 | Evonne Helen Eighmey | Occupational Therapist | 120 Cypress Edge Dr, Palm Coast, FL 32164-8453 | 2018-09-01 |
| 1356796858 | Nargiza A Ayupova | Registered Nurse | 120 Cypress Edge Dr, Ste 203, Palm Coast, FL 32164-8454 | 2016-05-03 |
| 1265821052 | Alicia Williams | Registered Nurse | 120 Cypress Edge Dr, Suite 203, Palm Coast, FL 32164-8453 | 2015-01-15 |
| 1326479460 | Chiamaka Iheme | Family Medicine | 120 Cypress Edge Dr, Suite 202, Palm Coast, FL 32164-8453 | 2013-11-27 |
| 1588094130 | Sharrell Cooper | Family Medicine | 120 Cypress Edge Dr, Suite 202, Palm Coast, FL 32164-8453 | 2013-11-18 |
| 1669710141 | Florida Heart & Vascular Care, Pllc | Internal Medicine | 120 Cypress Edge Dr, Suite 203, Palm Coast, FL 32164-8453 | 2013-01-18 |
| 1043475155 | Tanam Ahmed | Family Medicine | 120 Cypress Edge Dr, Suite 207, Palm Coast, FL 32164-8453 | 2008-07-29 |
| 1750422184 | Karen Christiane Theilade | Internal Medicine | 120 Cypress Edge Dr, Suite 203, Palm Coast, FL 32164-8453 | 2007-02-09 |
| 1033177878 | Sergey Turchin | Internal Medicine | 120 Cypress Edge Dr, Suite 209, Palm Coast, FL 32164-8453 | 2006-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437274362 | Richard Fabian | Otolaryngology | 29 Clarendon Ct N, Palm Coast, FL 32137-8353 | 2007-03-20 |
| 1922186253 | Daniel Charles Dantini Jr. | Otolaryngology | 29 Old Kings Rd N, Suite 6a, Palm Coast, FL 32137-8231 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870977 | Shanmugasundaram, Venkatachalam | Otolaryngology | 10131 W Forest Hill Blvd Ste 201, Wellington, FL 33414-6109 | 2020-04-24 |
| 1851910517 | Daniel Oswaldo Manrique | Otolaryngology | 325 Saddle Ridge Dr, Davenport, FL 33896-8176 | 2020-04-13 |
| 1932735768 | Martin Alvin Shugar | Otolaryngology | 3850 Hollywood Blvd Ste 401, Hollywood, FL 33021-6746 | 2020-03-12 |
| 1396219242 | North Broward Hospital Distric T | Otolaryngology | 1801 W Sample Rd Ste 101, Deerfield Beach, FL 33064-1370 | 2019-01-14 |
| 1356811194 | Donald Lee Roberts | Otolaryngology | 4251 Commons Dr W Unit 5211, Destin, FL 32541-8636 | 2018-12-04 |
| 1275022238 | Mary Teresa Garrish | Otolaryngology | 405 Sims Way, Merritt Island, FL 32952-5233 | 2018-05-05 |
| 1437658671 | Baptist Ent Specialists Inc | Otolaryngology | 11236 Baptist Health Dr Ste 330, Jacksonville, FL 32218-2989 | 2018-02-02 |
| 1467970368 | Portela E.n.t., Pa | Otolaryngology | 3100 Sw 62nd Ave Ste 124, Miami, FL 33155-3009 | 2017-08-31 |
| 1427414358 | Rufus Madison Holloway Jr. | Otolaryngology | 1616 Lake Shore Drive, Orlando, FL 32803 | 2016-01-07 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
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| City | PALM COAST |
| Zip Code | 32164 |
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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.