JOEL A TUCKER


Address: 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129
Phone: 2283929355

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 002486000 05

Office Location

Street Address 1720A MEDICAL PARK DR
SUITE 220
City BILOXI
State MS
Zip Code 39532-2129

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City BILOXI
Zip Code 39532

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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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