Active NPI
Frederick C. Tucker Jr., M.D.
- Hematology & Oncology Physician
- Lebanon, NH
National Provider Identifier
1467443325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- LT-3605
- Practice address
- 1 Medical Center Dr
DHMC - Hematology & Oncology
Lebanon, NH 03756-1000 - Phone
- (603) 650-7854
- NPI assigned
- Oct 31, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 0101056857 | VA | |
| Hematology & Oncology Physician | 207RH0003X | 042.0013310 | VT | |
| Hematology & Oncology Physician | 207RH0003X | LT-3605 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
DHMC - Hematology & Oncology
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC - Hematology & Oncology
Lebanon, NH 03756-1000
Phone (603) 650-7854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT-3605 | NH | MD | Hematology & Oncology Physician |
| 0101056857 | VA | MD | Hematology & Oncology Physician |
| 042.0013310 | VT | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Brattleboro Memorial Hospital | Past | Accepting new patients |
Locations
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- fredericktucker@foi.allscriptsdirect.net
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Organizations & group practices 3
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.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- General Acute Care Hospital
- Brattleboro, VT
- NPI 1306849708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1467443325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC - HEMATOLOGY & ONCOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC - HEMATOLOGY & ONCOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-7854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "FREDERICK",
"middle_name": "C.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VA",
"license": "0101056857",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "VT",
"license": "042.0013310",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NH",
"license": "LT-3605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.