JOEL A TUCKER (NPI# 1912068677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912068677 |
Entity Type | Individual |
Full Name | JOEL A TUCKER |
Credential | M.D. |
Practice Address |
1720a Medical Park Dr Suite 220 Biloxi MS 39532-2129 |
Mailing Address |
6300 E Lake Blvd Ste. 301 Vancleave MS 39565-6770 |
Practice Telephone | 2283929355 |
Practice Fax Number | 2283921781 |
Mailing Telephone | 2282302663 |
Mailing Fax Number | 2282061192 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2017-03-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 21487 | MS | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | TRN9064 | FL | Allopathic & Osteopathic Physicians |
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
21487 | MS | Allopathic & Osteopathic Physicians |
N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
ME106815 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 002486000 | 05 |
Street Address |
1720A MEDICAL PARK DR SUITE 220 |
City | BILOXI |
State | MS |
Zip Code | 39532-2129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689678674 | Jack W Brand Jr. | Internal Medicine | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2005-06-08 |
1407304801 | Rachael Hines | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-09-14 |
1144776386 | Alisha Farrish | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-08-28 |
1942691415 | Gai Truong | Pharmacist | 1720a Medical Park Dr, Suite 160, Biloxi, MS 39532-2129 | 2015-02-05 |
1679961270 | Duc Vinh Nguyen | Nurse Practitioner | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2015-01-05 |
1891119715 | Deborah Thompson-spencer | Nurse Practitioner | 1720a Medical Park Dr, Biloxi, MS 39532-2129 | 2014-02-12 |
1275893273 | Ashley Mcshurley | Nurse Practitioner | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2012-05-23 |
1215225636 | Aesthetic Surgery Center Ltd | Plastic Surgery | 1720a Medical Park Dr, Suite 140, Biloxi, MS 39532-2129 | 2011-07-19 |
1598067340 | Jan Van Truong | Chiropractor | 1720a Medical Park Dr, 160b, Biloxi, MS 39532-2129 | 2010-11-30 |
1558693192 | Hebe Diaz M.d. Pllc | Clinic/Center | 1720a Medical Park Dr, Suite 130c, Biloxi, MS 39532-2129 | 2010-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
Find all providers in zip 39532 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124587829 | Mo Services LLC | Orthopaedic Surgery | 15190 Community Rd., Suite 120, Gulfport, MS 39503-3484 | 2019-03-13 |
1720303639 | Thomas David Tarity | Orthopaedic Surgery | 301 Fisher St, Orthopedic Surgery Clinic, Keesler Afb, MS 39534-2508 | 2010-04-02 |
1750590196 | Benjamin Stronach | Orthopaedic Surgery | 2500 North State Street, Department of Orthopedics, Jackson, MS 35216-4500 | 2007-05-22 |
1003951724 | Trevor Reed Pickering | Orthopaedic Surgery | 1325 E Fortification St, Jackson, MS 39202-2442 | 2007-02-20 |
1295872174 | Ashish Anand | Orthopaedic Surgery | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2007-01-31 |
1902835044 | Richard A Conn | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2006-07-01 |
1679516017 | James L Hughes Jr. | Orthopaedic Surgery | 1410 E Woodrow Wilson Ave, Jackson, MS 39216-5114 | 2006-06-14 |
1861463788 | Robert Lance Johansen | Orthopaedic Surgery | 15190 Community Rd, Suite 120, Gulfport, MS 39503-3484 | 2006-01-30 |
Please comment or provide details below to improve the information on JOEL A TUCKER.
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.