Active NPI
Dorothea Tucker, M.D.
- Family Medicine Physician
- Abingdon, MD
National Provider Identifier
1629104716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0029775
- Practice address
- 3445 Box Hill Corporate Center Dr
E
Abingdon, MD 21009-1223 - Phone
- (410) 515-3500
- Fax
- (410) 515-2504
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0029775 | MD | Primary |
Addresses
Primary practice location
3445 Box Hill Corporate Center Dr
E
Abingdon, MD 21009-1223
Mailing address
3026 Weaver Ave
Baltimore, MD 21214-3401
Phone (410) 951-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0029775 | MD | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1629104716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3026 WEAVER AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212143401",
"telephone_number": "410-951-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 BOX HILL CORPORATE CENTER DR",
"address_2": "E",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210091223",
"telephone_number": "410-515-3500",
"fax_number": "410-515-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "DOROTHEA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0029775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, MD
- Monica Todd, LCPC
- Debra Jean Torres, RN
- Total Care, Inc.
- Javier Enrique Trujillo, PHARM.D
- TRW Associates
- Melissa Tutas, MSPT
- Matthew Tyra, LPC
- University of Maryland Medical Regional Professional Services, LLC (Towson Sports Medicine)
- Upper Chesapeake Endocrinology Associates, LLC
- V & D Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.