Active NPI
Donna M. Tuccero, M.D.
- Family Medicine Physician
- Durham, NC
National Provider Identifier
1669528352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39894
- Practice address
- 2100 Erwin Rd
Mawrshall Pcikens BLDG
Durham, NC 27710-0001 - Phone
- (919) 684-8111
- Fax
- (919) 681-7840
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 39894 | NC | Primary |
Addresses
Primary practice location
2100 Erwin Rd
Mawrshall Pcikens BLDG
Durham, NC 27710-0001
Mailing address
PO Box 63362
Charlotte, NC 28263-3362
Phone (919) 684-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39894 | Other | NC | MEDICAL LICENSE |
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 |
|---|---|---|---|
| 39894 | NC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1669528352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63362",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633362",
"telephone_number": "919-684-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 ERWIN RD",
"address_2": "MAWRSHALL PCIKENS BLDG",
"city": "DURHAM",
"state": "NC",
"postal_code": "277100001",
"telephone_number": "919-684-8111",
"fax_number": "919-681-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCCERO",
"first_name": "DONNA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "39894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "39894",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.