Active NPI
John A Tucker, M.D.
- Vascular Surgery Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME69865
- Practice address
- 8333 N Davis Hwy
Floor
Pensacola, FL 32514-6050 - Phone
- (850) 437-3777
- Fax
- (850) 437-3318
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME69865 | FL | Primary |
| Vascular Surgery Physician | 2086S0129X | 00009762 | AL |
Addresses
Primary practice location
8333 N Davis Hwy
Floor
Pensacola, FL 32514-6050
Mailing address
8333 N Davis Hwy
10TH Floor
Pensacola, FL 32514
Phone (850) 437-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251301300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Alabama School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Pinellas Bayway S
Suite 200
Tierra Verde, FL 33715-1505
Phone (727) 867-5480
1549 Airport Blvd
Suite 320
Pensacola, FL 32504-8635
Phone (850) 416-2500
Hospital & facility affiliations
- Amedisys Home Health
- Centerwell Home Health
- Sacred Heart Hospital
- Baptist Hospital
- Gulf Breeze Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1479 |
| Removal of skin lesions | 147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00009762 | AL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMR Anesthesia PLLC | Current | Accepting new patients | |
| Nautilus Health Care Group LLC | Current | Accepting new patients | |
| Nautilus Health Care Group, LLC | Current | Accepting new patients | |
| Advanced Wound Systems LLC | Past | Accepting new patients | |
| The Surgery Group PA | Past | Accepting new patients |
Locations
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020
1549 Airport Blvd
Ste 320
Pensacola, FL 32504
Phone (850) 416-2500
1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223
1502 Creighton Rd
Ste A
Pensacola, FL 32504
Phone (850) 437-3777
1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480
Interoperability endpoints
- jtucker@tucker.mdlogic.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
-
- Certified Registered Nurse Anesthetist
- Pensacola, FL
- NPI 1619444502
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
-
- Surgery Physician
- Pensacola, FL
- NPI 1902898802
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pensacola, FL
- NPI 1679685085
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
-
- Home Health Agency
- Pensacola, FL
- NPI 1437100450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1063407567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"address_2": "10TH FLOOR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "32514",
"telephone_number": "850-437-3777",
"fax_number": "850-437-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"address_2": "FLOOR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-437-3777",
"fax_number": "850-437-3318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JOHN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME69865",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AL",
"license": "00009762",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251301300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.