Organization Active NPI

Steven R. Tucker, MD, PC

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1811173479
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101043908 Issued in VA
Legal business name
STEVEN R. TUCKER, MD, PC
Practice address
9001 Digges Rd
Suite 206
Manassas, VA 20110-4421
Phone
(703) 330-6440
Fax
(703) 369-5819
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Steven R Tucker, MD
Title
Owner
Phone
(703) 330-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101043908 VA Primary

Addresses

Primary practice location

9001 Digges Rd
Suite 206
Manassas, VA 20110-4421

Mailing address

9001 Digges Rd
Suite 206
Manassas, VA 20110-4421
Phone (703) 330-6440

National Provider Directory

National Provider Directory

Locations

9001 Digges Rd
Manassas, VA 20110
Phone (703) 330-6440

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1811173479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD",
            "address_2": "SUITE 206",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104421",
            "telephone_number": "703-330-6440",
            "fax_number": "703-369-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD",
            "address_2": "SUITE 206",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104421",
            "telephone_number": "703-330-6440",
            "fax_number": "703-369-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R. TUCKER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-330-6440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101043908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.