NEIL THOMAS TUCKER (NPI# 1952354151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952354151 |
| Entity Type | Individual |
| Full Name | NEIL THOMAS TUCKER |
| Credential | MD |
| Practice Address |
1625 Se 3rd Ave Ste 200 Fort Lauderdale FL 33316-2521 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9548320332 |
| Practice Fax Number | 9548320289 |
| Mailing Telephone | 9548320332 |
| Mailing Fax Number | 9548320289 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
ME0060194 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 273540700 | 05 |
| Street Address |
1625 SE 3RD AVE STE 200 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316902430 | Ernesto Jose Blanco | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-04-20 |
| 1700814761 | North Broward Hospital District | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-06-29 |
| 1053349001 | North Broward Hospital District | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821510959 | Thiru S. Arasu M.d., P.a. | Pediatrics | 2734 Windguard Cir Ste 102, Wesley Chapel, FL 33544-7362 | 2017-07-11 |
| 1194068973 | Christina Baldwin Chadwick | Pediatrics | 1600 Sw Archer Rd # Hd606, Gainesville, FL 32610 | 2013-03-31 |
| 1467719492 | Osman Zaki Ahmad | Pediatrics | 1690 Dunlawton Ave Ste 110, Port Orange, FL 32127-8980 | 2012-04-16 |
| 1912233974 | Thiru S. Arasu, Md, Pa | Pediatrics | 501 Dr Martin Luther King St S, St Petersburg, FL 33705-1814 | 2009-10-27 |
| 1720314164 | Yonathan Fuchs | Pediatrics | 1150 N 35th Ave Ste 545, Hollywood, FL 33021-5468 | 2009-10-20 |
| 1760629497 | Children's Gastroenterology of Sw Florida | Pediatrics | 9800 S Healthpark Drive, Suite 145, Fort Myers, FL 33908 | 2009-01-16 |
| 1821255027 | Thiru S. Arasu, M.d., P.a. | Pediatrics | 15045 Bruce B Downs Blvd, Tampa, FL 33647-1388 | 2008-05-16 |
| 1952503674 | Roberto A Gomez-suarez | Pediatrics | 1717 South Orange Ave., Suite #100, Melbourne, FL 32901-3224 | 2007-06-04 |
| 1659422335 | David J Bailey | Pediatrics | 4600 Touchton Rd E, Suite 2500, Jacksonville, FL 32246-8299 | 2007-01-16 |
| 1396803912 | Andrew Robert Edelstein | Pediatrics | 10200 West State Road 84, Suite 101, Davie, FL 33324 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.