N H Tucker III, M.D.,P.A.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0022569 Issued in FL

Practice address

2149 Saint Johns Ave
Jacksonville, FL 32204-4418

Phone

(904) 384-2525

Fax

(904) 389-4135

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

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.

• Cardiology Interpreters Inc

  • Cardiology Technician
  • Jacksonville, FL
  • NPI 1477887149
  Medicare reassignment NPD
• St Vincents Electrocardiography, Inc

  • Specialist
  • Jacksonville, FL
  • NPI 1902964000
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1720003023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 SAINT JOHNS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044418",
            "telephone_number": "904-384-2525",
            "fax_number": "904-389-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 SAINT JOHNS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044418",
            "telephone_number": "904-384-2525",
            "fax_number": "904-389-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "N",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.,P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0022569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Karina Tucker, RN
• Jordan Grace Tucker, CCC-SLP
• Kristen Elaine Tucker, PA-C
• Meleecia Tucker, LMHC
• Melinda Tucker, M.A
• Tiffany Dian Tucker, O.D.
• Tanya Tuckman, OTR/L
• Frank Tudela Ruiz, FNP
• Desiree Ann Tufts
• Tuggle Counseling and Consulting Services, LLC

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.