David J. Tucker, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DAVID J. TUCKER, MD, LLC

Practice address

1034 S Brentwood Blvd
Ste 716
Saint Louis, MO 63117-1223

Phone

(314) 721-9999

Fax

(314) 721-2244

NPI assigned

Oct 17, 2006

Organization subpart

Yes

Parent organization

ST. LUKE'S MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Rick Sonne

Title

Director

Phone

(314) 576-2490

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

St Lukes Medical Group

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Joseph Tucker, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1427152669
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1386724763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-576-2490",
            "fax_number": "314-576-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD",
            "address_2": "STE 716",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171223",
            "telephone_number": "314-721-9999",
            "fax_number": "314-721-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. TUCKER, MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "SONNE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-576-2490"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN7747",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Jordan Davenport, CRNA
• David a Parks, MD, PC
• David a. Durham DDS and Associates PC
• David G. Kennedy a Professional Corporation
• David J. Pernikoff, MD, PC
• David M Knight PSYD LLC
• David Robson MD
• Danielle David, LCSW
• Elizabeth Blanton David, MD
• Jaachi David

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.