DR. GLENN A TUCKMAN


Address: 3738 Landmark Dr, Ste D, Lafayette, IN 47905-6654
Phone: 7654497984

DR. GLENN A TUCKMAN (NPI# 1821091620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821091620
Entity Type Individual
Full Name DR. GLENN A TUCKMAN
Credential MD
Practice Address 3738 Landmark Dr
Ste D
Lafayette
IN 47905-6654
Mailing Address 6416 Shamel Dr
Indianapolis
IN 46278-1170
Practice Telephone 7654497984
Practice Fax Number 7654499791
Mailing Telephone 3178761229
Enumeration Date 2005-05-24
Last Update Date 2013-08-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
01039553A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200020370B 05
KY 64882822 05

Office Location

Street Address 3738 LANDMARK DR
STE D
City LAFAYETTE
State IN
Zip Code 47905-6654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447674668 Dena Michelle Seifert Nurse Practitioner 3738 Landmark Dr, Suite A, Lafayette, IN 47905-6654 2014-02-07
1689011538 Brianna Lynn Maciejewski Physician Assistant 3738 Landmark Dr, #a, Lafayette, IN 47905-6654 2013-06-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
Find all providers in zip 47905

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588295448 Hassan Sawaf Radiology 1411 S Creasy Ln Ste 130, Lafayette, IN 47905-7433 2020-01-30
1801383245 St Marys Imaging Center II Radiology 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 2018-04-20
1578937744 Modesto Radiological Medical Group Radiology 2283 Hidden Pond Ln, Lafayette, CA 94549-1742 2015-11-25
1629411210 Lowell David Froker Radiology 32 Olympic Oaks Dr, Lafayette, CA 94549-4800 2013-04-12
1386987196 Imaging Partners Medical Group Radiology 3976 Canyon Rd, Lafayette, CA 94549-2702 2013-03-29
1982946562 Rachael Lane Guillory Radiology 1811 Dulles Dr, Lafayette, LA 70506-3724 2013-03-21
1578811386 Maurice Louis Bercier Radiology 309 Steiner Road, Lafayette, LA 70508 2012-08-28
1295024222 Lourdes Imaging Center LLC Radiology 4809 Ambassador Caffery Parkway, Suite 350, Lafayette, LA 70508 2011-03-30
1467784744 Delano Zeus Arvin Radiology 6233 N 700 E, Lafayette, IN 47905-9761 2010-02-11
1003045287 Professional Radiology Network Tlc-prn, LLC Radiology 107 Kempton Dr, Lafayette, LA 70508-6547 2009-07-08
Find all providers in LAFAYETTE

Competitor

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City LAFAYETTE
Zip Code 47905

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Dataset Information

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.

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