Active NPI
Lori Tucker, DO
- Obstetrics & Gynecology Physician
- Princeton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 1960
- Practice address
- 904 Harrison St
Princeton, WV 24740 - Phone
- (304) 431-7100
- Fax
- (304) 431-7112
- NPI assigned
- Aug 11, 2006
- Last updated
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1960 | WV | Primary |
Addresses
Primary practice location
904 Harrison St
Princeton, WV 24740
Mailing address
PO Box 1138
Princeton, WV 24740
Phone (304) 431-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1808681000 | Medicaid | WV |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ltucker132938@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ltucker132938@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- West Virginia School of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change, Incorporated | Current | Accepting new patients | |
| Seven Hills OB-GYN Associates LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| University Healthcare Physicians Inc | Current | Accepting new patients | |
| University Healthcare Physicians, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Seven Hills OB-GYN Associates, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Wilmington Physicians Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| RCHP-Wilmington, LLC | Past | Accepting new patients | |
| Trinity Hospital Holding Company | Past | Accepting new patients | |
| Eastern Maine Medical Center | Past | Accepting new patients |
Locations
11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718
8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600
596 W Main St
Wilmington, OH 45177
Phone (937) 283-2588
630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570
200 Luray Dr
Wintersville, OH 43953
Phone (304) 748-2828
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
880 N Tennessee Ave
Ste 105
Martinsburg, WV 25401
Phone (304) 264-8603
1151 Washington St
Newell, WV 26050
Phone (304) 459-4010
3136 West St
Weirton, WV 26062
Phone (304) 748-2828
3158 West St
Weirton, WV 26062
Phone (304) 797-7733
Interoperability endpoints
- https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
- lori.tucker@mmhs.medicity.net
- lotucker@yourcarecommunity.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Axia Women's Health Midwest Laboratory
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1396350187
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
dba FAMILY MEDICAL CARE Community Health Center
- Federally Qualified Health Center (FQHC)
- Weirton, WV
- NPI 1245244367
OH
-
- Family Medicine Physician
- Wilmington, OH
- NPI 1932401411
Obstetrics & Gynecology
-
dba Trinity Family Care Centers
- Family Medicine Physician
- Steubenville, OH
- NPI 1043234677
-
- Obstetrics & Gynecology Physician
- Princeton, WV
- NPI 1558528018
-
dba UHP Anesthesia
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1417371329
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1780312975
-
dba Clinton Memorial Hospital
- General Acute Care Hospital
- Wilmington, OH
- NPI 1063713659
-
dba Acute Care West
- General Acute Care Hospital
- Steubenville, OH
- NPI 1285715144
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1174534291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1138",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-431-7100",
"fax_number": "304-431-7112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 HARRISON ST",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-431-7100",
"fax_number": "304-431-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "LORI",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "1960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1808681000",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltucker132938@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "880 N Tennessee Ave Ste 105",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254019401",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltucker132938@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "880 N Tennessee Ave Ste 105",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254019401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.