Active NPI
Howard J Tucker MD Inc
- Neurological Surgery Physician
- Cleveland Heights, OH
National Provider Identifier
1679703920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35015264
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901906 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.