Individual provider Active NPI

Lori Tucker, DO

  • Obstetrics & Gynecology Physician
  • Princeton, WV
National Provider Identifier
1174534291
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1960 Issued in WV
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1808681000MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
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, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180508002185 OH Practitioner - Obstetrics/Gynecology 8426072497 Reassigns benefits to 3 organizations
I20251211000978 IN Practitioner - Obstetrics/Gynecology 8426072497 Reassigns benefits to 1 organization
I20260612002202 ME Practitioner - Obstetrics/Gynecology 8426072497 Reassigns benefits to 1 organization

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
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Change, Incorporated CurrentSince Oct 15, 2017 Accepting new patients
Seven Hills OB-GYN Associates LLC Obstetrics & Gynecology CurrentSince Oct 6, 2025 Accepting new patients
University Healthcare Physicians Inc CurrentSince Apr 23, 2019 Accepting new patients
University Healthcare Physicians, Inc. Obstetrics & Gynecology CurrentSince Apr 23, 2019 Accepting new patients
Seven Hills OB-GYN Associates, LLC Obstetrics & Gynecology CurrentSince Oct 6, 2025 Accepting new patients
Wilmington Physicians Group LLC Obstetrics & Gynecology CurrentSince Mar 1, 2022 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

  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lori.tucker@mmhs.medicity.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.