Organization Active NPI

Howard J Tucker MD Inc

  • Neurological Surgery Physician
  • Cleveland Heights, OH
National Provider Identifier
1679703920
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35015264 Issued in OH
Legal business name
HOWARD J TUCKER MD INC
Practice address
2801 N Park Blvd
Cleveland Heights, OH 44118-4030
Phone
(440) 333-6545
Fax
(440) 331-7710
NPI assigned
Jul 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Dr. Howard J Tucker, MD
Title
Physician
Phone
(440) 333-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 35015264 OH Primary

Addresses

Primary practice location

2801 N Park Blvd
Cleveland Heights, OH 44118-4030

Mailing address

20545 Center Ridge Rd
Suite 116
Rocky River, OH 44116-3430
Phone (440) 333-6545

Other identifiers 1

IdentifierTypeStateIssuer
8901906MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1679703920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20545 CENTER RIDGE RD",
            "address_2": "SUITE 116",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163430",
            "telephone_number": "440-333-6545",
            "fax_number": "440-331-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N PARK BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441184030",
            "telephone_number": "440-333-6545",
            "fax_number": "440-331-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD J TUCKER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "440-333-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35015264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901906",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.