Elizabeth M Tucker, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A-1455-08 Issued in NM

Practice address

1212 9TH St
Suite a
Alamogordo, NM 88310-5842

Phone

(575) 439-9997

Fax

(575) 439-8080

NPI assigned

Oct 18, 2006

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: elizabeth.tucker.1@6965.direct.athenahealth.com

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.

• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Surgery

  NPD (past)
• Verde Valley Medical Center

  • General Acute Care Hospital
  • Cottonwood, AZ
  • NPI 1346291648
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1275614935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W BOUTZ RD",
            "address_2": "BLDG 1",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053259",
            "telephone_number": "575-532-7000",
            "fax_number": "575-532-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 9TH ST",
            "address_2": "SUITE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105842",
            "telephone_number": "575-439-9997",
            "fax_number": "575-439-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "A-1455-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46579028",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02323742",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• True Hope Counseling and Consulting
• Alejandra Trujillo
• Carl Rey Trujillo, M.S., LADAC, LMHC
• Kathryn Trujillo
• Carlotta Tso
• Janice Tucker, P.T.
• Reynelda Tucson
• Tularosa Basin Dermatology
• Tularosa Clinic Inc.
• Bryan T Turnbow, RPH

• Surgery Physician in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.