Active NPI
Anthony Tucker, MD
- Emergency Medicine Physician
- Palm Bay, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME120268
- Practice address
- 1840 Eldron Blvd SE Ste 1
Palm Bay, FL 32909-6871 - Phone
- (321) 312-4580
- Fax
- (321) 914-4053
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 171620 | NY | |
| Emergency Medicine Physician | 207P00000X | ME120268 | FL | Primary |
Addresses
Primary practice location
1840 Eldron Blvd SE Ste 1
Palm Bay, FL 32909-6871
Mailing address
1840 Eldron Blvd SE Ste 1
Palm Bay, FL 32909-6871
Phone (321) 312-4580
Other practice location 1
427 Guy Park Ave
Amsterdam, NY 12010-1054
Phone (518) 842-7241
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02585871 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME120268 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solantic of Jacksonville, LLC | Emergency Medicine | Current | Accepting new patients |
| Solantic/South Florida, LLC | Current | Accepting new patients | |
| Restore Health Management LLC | Current | Accepting new patients | |
| Shands/Solantic Joint Venture, LLC | Current | Accepting new patients | |
| Hma/Solantic Joint Venture, LLC | Current | Accepting new patients | |
| Missouri Em-I Medical Services, P.C. | Emergency Medicine | Past | Accepting new patients |
| Adirondack Emergency Medicine, PC | Emergency Medicine | Past | Accepting new patients |
| Dwic of Tampa Bay, Inc | Past | Accepting new patients | |
| Utica Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| Little Blue Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Hannibal Regional Healthcare System Inc | Past | Accepting new patients |
Locations
720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000
2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337
1840 Eldron Blvd SE
Ste 1
Palm Bay, FL 32909
Phone (321) 312-4580
9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881
1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200
463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1689812109
-
- Urgent Care Clinic/Center
- Palm Bay, FL
- NPI 1609240779
-
- Urgent Care Clinic/Center
- Gainesville, FL
- NPI 1558595223
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
Emergency Medicine
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1851344378
-
dba MedExpress Urgent Care - Hudson, State Road 52
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
-
- Emergency Medicine Physician
- Ellenville, NY
- NPI 1174572978
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Emergency Medicine Physician
- Independence, MO
- NPI 1609154061
-
- Emergency Medicine Physician
- Independence, MO
- NPI 1245518604
-
- Emergency Medicine Physician
- New Hartford, NY
- NPI 1447323019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522195200000",
"number": "1356421366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 ELDRON BLVD SE STE 1",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096871",
"telephone_number": "321-312-4580",
"fax_number": "321-914-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 ELDRON BLVD SE STE 1",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096871",
"telephone_number": "321-312-4580",
"fax_number": "321-914-4053"
}
],
"practiceLocations": [
{
"address_1": "427 Guy Park Ave",
"address_purpose": "LOCATION",
"city": "Amsterdam",
"state": "NY",
"postal_code": "120101054",
"country_code": "US",
"telephone_number": "518-842-7241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2018-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "171620",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME120268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02585871",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.