Tucker Family Medicine, PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

KY03404 Issued in KY

Legal business name

TUCKER FAMILY MEDICINE, PSC

Practice address

105 Greenbriar Dr
Suite B
Campbellsville, KY 42718-9617

Phone

(270) 465-0191

Fax

(270) 465-0463

NPI assigned

Nov 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Tony Frogge

Title

Office Manager

Phone

(270) 465-0191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1790158699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREENBRIAR DR",
            "address_2": "SUITE B",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189617",
            "telephone_number": "270-465-0191",
            "fax_number": "270-465-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENBRIAR DR",
            "address_2": "SUITE B",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189617",
            "telephone_number": "270-465-0191",
            "fax_number": "270-465-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER FAMILY MEDICINE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "FROGGE",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-465-0191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "KY03404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TRH Anesthesia LLC
• Tri-Generations LLC
• Tri-Generations LLC Central Ky
• Joy Trotter, M.S., OTR/L
• Tucker Family Medicine PSC
• Summer Raye Tucker, D.O.
• Wes Thomas Tucker, PHARMD
• William Griffin Tucker, DO
• Pamela Tungate, LCSW
• Ashley Phillips Turner

• Family Medicine Physician in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.