WAYNE TUCKER DO, PA (NPI# 1770601874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770601874 |
| Entity Type | Organization |
| Organization Name | WAYNE TUCKER DO, PA |
| Practice Address |
100 Becks Woods Dr Suite 202 Bear DE 19701-3835 |
| Mailing Address |
101 Becks Woods Dr Suite 100 Bear DE 19701 |
| Practice Telephone | 3028381100 |
| Practice Fax Number | 3028388962 |
| Mailing Telephone | 3028381100 |
| Mailing Fax Number | 3028388962 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | DR. WAYNE IRA TUCKER (OWNER) |
| Authorized Official Telephone | 3028381100 |
| Authorized Official Credential | DO, PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | F1-0000484 | DE | Chiropractic Providers |
| Y | 207Q00000X | Family Medicine | C2004133 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | UNITED HEALTHCARE | 0100579 | 01 |
| DE | 0001131503 | 05 | |
| DE | AETNA | 4331251 | 01 |
| DE | COVENTRY | 116893 | 01 |
| DE | BCBS | 1770601874 | 01 |
| Street Address |
100 BECKS WOODS DR SUITE 202 |
| City | BEAR |
| State | DE |
| Zip Code | 19701-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699756130 | Kathleen Iffland | Physical Therapist | 100 Becks Woods Dr, Bear, DE 19701-3835 | 2005-11-10 |
| 1730647181 | Kurtis J Kessler | Specialist/Technologist | 100 Becks Woods Dr, Bear, DE 19701-3835 | 2019-03-05 |
| 1407380942 | Catina Holmes-weatherly | Counselor | 100 Becks Woods Dr, Suite 202, Bear, DE 19701-3835 | 2017-04-11 |
| 1467994012 | Katelyn Haverstick | Physical Therapist | 100 Becks Woods Dr, Bear, DE 19701-3835 | 2016-11-14 |
| 1073066734 | Mary Kosenkranius | Specialist/Technologist | 100 Becks Woods Dr, Bear, DE 19701-3835 | 2016-07-29 |
| 1417400680 | Kristina Dix | Physical Therapist | 100 Becks Woods Dr, Bear, DE 19701-3835 | 2016-07-25 |
| 1902185093 | Lindsey T Hughey | Physical Therapist | 100 Becks Woods Dr, Bear, DE 19701-3835 | 2011-08-08 |
| 1437334547 | Kyle T Fennemore | Physical Therapist | 100 Becks Woods Dr, Suite 101, Bear, DE 19701-3835 | 2008-01-08 |
| 1952458275 | Tracy Lynn Wiebking | Physical Therapist | 100 Becks Woods Dr, Suite 101, Bear, DE 19701-3835 | 2007-01-05 |
| 1760424568 | John Lemen II | Physical Therapist | 100 Becks Woods Dr, Suite 101, Bear, DE 19701-3835 | 2006-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165427 | Delaware Dental Solutions LLC | Dentist | 131 Becks Woods Dr., Bear, DE 19701 | 2019-10-08 |
| 1174004345 | The Life Center Complex, Inc. | Clinic/Center | 4050 Wrangle Hill Rd, Bear, DE 19701 | 2018-08-27 |
| 1124513270 | Shanila Shagufta | Psychiatry & Neurology | 434 Roger Chaffee Sq., Bear, DE 19701 | 2018-06-29 |
| 1932614393 | Steps Center LLC | Home Health | 14 S Saint George Ter, Bear, DE 19701 | 2017-12-07 |
| 1467978205 | Ijn Health Systems, LLC | Home Health | 603 Parkman Court, Bear, DE 19701 | 2017-08-14 |
| 1992226922 | Sharon Thebe | Nurse Practitioner | 30 Printz Drive, Bear, DE 19701 | 2017-06-29 |
| 1003286287 | Prosperous, LLC | Specialist | 131 Becks Woods Drive, Bear, MD 19701 | 2015-10-01 |
| 1881075695 | Yvette Pendleton | Technician, Pathology | 30 Lotus Circle N, Bear, DE 19701 | 2015-06-17 |
| 1639574692 | Nicole Sult | Counselor | 516 Daniels Ct, Bear, DE 19701 | 2014-11-01 |
| 1528498797 | Advanced Behavior Treatment, LLC | Community/Behavioral Health | 9 Willhelen Ct, Bear, DE 19701 | 2013-11-25 |
| Find all providers in zip 19701 | ||||
| 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 |
|---|---|---|---|---|
| 1952874190 | Better Wellness Family Practice LLC | Family Medicine | 400 Fox Hunt Drive, Bear, DE 19701-1970 | 2019-01-10 |
| 1962860882 | Delaware Family Physicians, LLC | Family Medicine | 2500 Wrangle Hill Rd Ste 2, Suite 205, Bear, DE 19701-3836 | 2016-02-05 |
| 1548630361 | Joshi Medical P.a. | Family Medicine | 417 Oregano Ct, Bear, DE 19701-6019 | 2015-10-06 |
| 1750751640 | Delaware Primary Physicians | Family Medicine | 2500 Wrangle Hill Rd Ste 205, Bear, DE 19701-3838 | 2015-10-05 |
| 1396046108 | United Medical Clinic of De, LLC | Family Medicine | 121 Beckswoods Drive, Suite 100, Bear, DE 19701-4773 | 2010-11-10 |
| 1497073175 | Nadia Arshad | Family Medicine | 404 Fox Hunt Drive, Bear, DE 19701 | 2010-05-05 |
| 1790800548 | Mackey Family Practice of Bear, P.a. | Family Medicine | 258 Fox Hunt Dr, Bear, DE 19701-2536 | 2007-03-20 |
| 1356430821 | Wayne I Tucker | Family Medicine | 101 Becks Woods Dr, Suite 100, Bear, DE 19701-3854 | 2006-10-12 |
| 1225261746 | Diana Ana Cer | Family Medicine | 404 Fox Hunt Dr, Bear, DE 19701-2538 | 2009-09-01 |
| 1962632364 | Alireza Pirestani | Family Medicine | 404 Fox Hunt Dr, Bear, DE 19701 | 2009-07-20 |
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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.