Douglas Tucker, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

168294 Issued in NY

Practice address

100 Malta LN
Syracuse, NY 13212-2375

Phone

(315) 703-3586

NPI assigned

Nov 7, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dtucker@hiemail.healtheconnections.org

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1588093843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 LAWRENCE RD E",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123844",
            "telephone_number": "315-703-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALTA LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132122375",
            "telephone_number": "315-703-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "168294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI",
            "identifier": "1548366271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Ridley Tschudi, RN ANP
• Paul Tucci
• Olivia Paige Tucker-Wight
• Amber Tucker
• Amy L. Tucker, M.D.
• Heather Lynn Tucker
• Carly Tullos
• Srinivas Saran Tumuluri, MD
• Victor Tung, MD
• Margaret A Turk, MD

• Internal Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.