Active NPI
Jon Barry Tucker, MD
- Orthopaedic Surgery Physician
- Pittsburgh, PA
National Provider Identifier
1124029178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD034772E
- Practice address
- 1082 Bower Hill Rd
Suite 100
Pittsburgh, PA 15243-1324 - Phone
- (412) 276-0267
- Fax
- (412) 276-7215
- NPI assigned
- Aug 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD034772E | PA | Primary |
Addresses
Primary practice location
1082 Bower Hill Rd
Suite 100
Pittsburgh, PA 15243-1324
Mailing address
1000 Bower Hill Rd
Affiliate Billing
Pittsburgh, PA 15243-1873
Phone (412) 942-2533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012291940005 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034772E | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1124029178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BOWER HILL RD",
"address_2": "AFFILIATE BILLING",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431873",
"telephone_number": "412-942-2533",
"fax_number": "412-942-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1082 BOWER HILL RD",
"address_2": "SUITE 100",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431324",
"telephone_number": "412-276-0267",
"fax_number": "412-276-7215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JON",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD034772E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012291940005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.