Stephen B Tucker, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

F6143 Issued in TX

Practice address

1055 Evergreen Cir
The Woodlands, TX 77380-3602

Phone

(281) 367-9110

Fax

(832) 813-0344

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

DermatologyAlso: Pathology

Education

University of Southern California Keck School of Medicine, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lone Star Community Health Center, IncGroup PAC ID 7416841994, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.tucker.1@31617.direct.athenahealth.com
• Direct secure messaging: stephentucker@lsfhc.allscriptsdirect.net

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.

• Lone Star Community Health Center, Inc.

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1568590610
  Medicare reassignment Care Compare group NPD
• Lone Star Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Magnolia, TX
  • NPI 1710857131
  NPD
• Lone Star Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conroe, TX
  • NPI 1326045774
  NPD (past)
• Woodlands Family Practice P.a.

  • Family Medicine Physician
  • The Woodlands, TX
  • NPI 1033230602
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1245279892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 EVERGREEN CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803602",
            "telephone_number": "281-367-9110",
            "fax_number": "832-813-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 EVERGREEN CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803602",
            "telephone_number": "281-367-9110",
            "fax_number": "832-813-0344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S Conroe Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773044722",
            "country_code": "US",
            "telephone_number": "936-539-4004",
            "fax_number": "936-521-3964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "STEPHEN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F6143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178810101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "DE5715",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "87X447",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "070002920",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB122920",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stmd.ema.md",
            "affiliation": "N",
            "endpointDescription": "Referrals",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office Notes",
            "address_1": "1055 Evergreen Cir",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773803602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin Anh Truong, M.D.
• Tam Minh Truong, M.D.
• Jonathan Tsao, OD
• Karen Thursday Samson Tuano, M.D.
• Sierra Tucker, LPC-ASSOCIATE
• Irene Tintin Tung, M.D.
• Joseph Turchen, FNP-C, ENP-C
• Daniel M Turmero Garcia, MD
• Elizabeth S Turner, NP
• Lorena Kelly Turner, DPT

• Dermatology Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.

Verify at the official NPI Registry.