Active NPI
Emily Rose Tucker, PA
- Medical Physician Assistant
- Johnstown, PA
National Provider Identifier
1245466226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA053843
- Practice address
- 1450 Scalp Ave
Ste 1000
Johnstown, PA 15904-3321 - Phone
- (814) 269-5200
- Fax
- (814) 472-7336
- NPI assigned
- Jun 4, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA053843 | PA | Primary |
Addresses
Primary practice location
1450 Scalp Ave
Ste 1000
Johnstown, PA 15904-3321
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 269-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007698380002 | Medicaid | PA | |
| 1007698380001 | 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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conemaugh Health Initiatives | Past | Accepting new patients | |
| Washington Physician Services | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba CHI Paul A. Rollins, MD
- Plastic Surgery Physician
- Johnstown, PA
- NPI 1073516720
-
dba Washington Health System Physicians Group
- Family Medicine Physician
- Washington, PA
- NPI 1316917669
-
dba Windber Medical Center
- 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": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1245466226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 FRANKLIN ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054305",
"telephone_number": "814-269-5200",
"fax_number": "814-472-7336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SCALP AVE",
"address_2": "STE 1000",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043321",
"telephone_number": "814-269-5200",
"fax_number": "814-472-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "EMILY",
"middle_name": "ROSE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007698380002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007698380001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.