Active NPI
Erica Jayne Tuckwiller, D.O.
- Pediatrics Physician
- Beckley, WV
National Provider Identifier
1700103140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2703
- Practice address
- 252 Rural Acres Dr
Beckley, WV 25801-3503 - Phone
- (304) 252-8551
- Fax
- (304) 252-0109
- NPI assigned
- Apr 26, 2010
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2703 | WV | Primary |
Addresses
Primary practice location
252 Rural Acres Dr
Beckley, WV 25801-3503
Mailing address
252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 253-2628
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2703 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in OB GYN, Inc | Past | Accepting new patients |
Interoperability endpoints
- erica.tuckwiller.1@14333.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Cincinnati, OH
- NPI 1497716005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736640000000",
"number": "1700103140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 RURAL ACRES DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013503",
"telephone_number": "304-253-2628",
"fax_number": "304-252-1720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 RURAL ACRES DR",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013503",
"telephone_number": "304-252-8551",
"fax_number": "304-252-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKWILLER",
"first_name": "ERICA",
"middle_name": "JAYNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2025-01-12",
"certification_date": "2025-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "2703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.