Individual provider Active NPI

Spencer Paul Tucker, M.D.

  • Emergency Medicine Physician
  • Hammond, LA
National Provider Identifier
1427277888
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.202239 Issued in LA
Practice address
12163 E Adams Rd
Hammond, LA 70403-2103
Phone
(225) 294-0532
Fax
(225) 294-0532
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 202239 LA
Emergency Medicine Physician 207P00000X MD.202239 LA Primary

Addresses

Primary practice location

12163 E Adams Rd
Hammond, LA 70403-2103

Mailing address

12163 E Adams Rd
Hammond, LA 70403-2103
Phone (225) 294-0532

Other practice location 1

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131

Other practice location 2

1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242

Other practice location 3

180 W Esplanade Ave
Kenner, LA 70065-2467
Phone (504) 468-8600

Other identifiers 1

IdentifierTypeStateIssuer
1309834MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000017 LA Practitioner - Emergency MedicinePractitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 0840365946 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luling Emergency Group LLCGroup PAC ID 8325352636, 21 clinicians
Mayfair Emergency Group, LLCGroup PAC ID 3375808645, 33 clinicians

Practice addresses (Care Compare)

1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242

25455 Hwy 1
Plaquemine, LA 70764-7513
Phone (225) 761-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202239LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Emergency Physician Partners LLC Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Jan 4, 2020 Accepting new patients
St. John Emergency Group LLC Emergency Medicine CurrentSince Jan 18, 2013 Accepting new patients
Luling Emergency Group LLC Emergency Medicine CurrentSince Jan 3, 2020 Accepting new patients
C & M Medical Services, Inc. CurrentSince Jan 15, 2014 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 20, 2019 Accepting new patients
Mayfair Emergency Group, LLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Jan 3, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 20, 2019 Accepting new patients
Ochsner Clinic LLC Surgery Current Accepting new patients
Dorothy Lewis MD, LLC Surgery PastSince Jul 24, 2022 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

301 Walnut St
Amite, LA 70422
Phone (985) 748-7141

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1514 Jefferson Hwy
New Orleans, LA 70121

1401 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4747

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1427277888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12163 E ADAMS RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032103",
            "telephone_number": "225-294-0532",
            "fax_number": "225-294-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12163 E ADAMS RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032103",
            "telephone_number": "225-294-0532",
            "fax_number": "225-294-0532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Belle Chasse Hwy",
            "address_purpose": "LOCATION",
            "city": "Terrytown",
            "state": "LA",
            "postal_code": "700567127",
            "country_code": "US",
            "telephone_number": "504-392-3131",
            "fax_number": "504-391-5486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1057 Paul Maillard Rd",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "LA",
            "postal_code": "700704349",
            "country_code": "US",
            "telephone_number": "985-785-6242",
            "fax_number": "985-785-3642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 W Esplanade Ave",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700652467",
            "country_code": "US",
            "telephone_number": "504-468-8600",
            "fax_number": "504-464-8538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SPENCER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "202239",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.202239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309834",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.