Seth Lee Stucker, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

6732 Ramsgate Road
Chittenango, NY 13037

Phone

(210) 238-8144

NPI assigned

Jan 13, 2012

Last updated

Jan 13, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1417228933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 RAMSGATE ROAD",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "13037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6732 RAMSGATE ROAD",
            "city": "CHITTENANGO",
            "state": "NY",
            "postal_code": "13037",
            "telephone_number": "210-238-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKER",
        "first_name": "SETH",
        "middle_name": "LEE",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Scholes M Sarah Scholes
• Sharon Schlueter, RN
• Alyssa Christine Shute, DPT
• Hannah Sidebottom
• Stonehedge Aquisition Chittenango I, LLC
• Kristina M. Tervo, D.O.
• Maria Thannhauser, DPT
• Sue Anne Thomas, MS, CCC, SLP
• Joyce Tibbett, DO
• Ola Marie Trieb

• Independent Duty Medical Technicians in Chittenango, NY
• Providers in Chittenango, NY by specialty
• Independent Duty Medical Technicians in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.