NPIMap

Organization Active NPI

Tuckier Surgical Clinic

  • Surgery Physician
  • Moulton, AL
National Provider Identifier
1164618039
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO539 Issued in AL
Legal business name
TUCKIER SURGICAL CLINIC
Practice address
202 Hospital St
Moulton, AL 35650-1218
Phone
(256) 974-2121
Fax
(256) 974-2120
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rex Tuckier, D.ONPI 1679523757
Title
Physician/Owner
Phone
(256) 974-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X DO539 AL Primary

Addresses

Primary practice location

202 Hospital St
Moulton, AL 35650-1218

Mailing address

PO Box 815
Moulton, AL 35650-0815
Phone (256) 974-2121

National Provider Directory

National Provider Directory

Locations

12465 AL Highway 157
Moulton, AL 35650
Phone (256) 974-2121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1164618039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356500815",
            "telephone_number": "256-974-2121",
            "fax_number": "256-974-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HOSPITAL ST",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356501218",
            "telephone_number": "256-974-2121",
            "fax_number": "256-974-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKIER SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "TUCKIER",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "256-974-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "DO539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moulton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.