Individual provider Active NPI

Tammy L. Tuchel, D.O.

  • Family Medicine Physician
  • Indiantown, FL
National Provider Identifier
1821057613
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7695 Issued in FL
Practice address
15858 S. W. Warfield Blvd.
Indiantown, FL 34956-0648
Phone
(722) 597-3596
Fax
(772) 597-4194
NPI assigned
Mar 21, 2006
Last updated
Jan 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7695 FL Primary

Addresses

Primary practice location

15858 S. W. Warfield Blvd.
Indiantown, FL 34956-0648

Mailing address

4450 S Tiffany Dr
West Palm Beach, FL 33407-3241
Phone (561) 844-9443

Other identifiers 2

IdentifierTypeStateIssuer
260028500MedicaidFL
44834OtherFLBCBS PROVIDER #

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100928000523 FL Practitioner - Family Practice 3375669385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15858 SW Warfield Blvd
Indiantown, FL 34956-3513
Phone (772) 597-3596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS7695FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Community Health Centers Inc CurrentSince May 23, 2001 Accepting new patients
Florida Community Health Centers Inc Family Medicine CurrentSince May 23, 2001 Accepting new patients
Florida Community Health Centers Inc Family Medicine Current Accepting new patients
Florida Community Health Centers, Inc. Family Medicine Past Accepting new patients

Locations

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596

1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951

3441 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 221-4000

5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443

Interoperability endpoints

  • Direct secure messaging: tammy.tuchel.1@14865.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1821057613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 S TIFFANY DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073241",
            "telephone_number": "561-844-9443",
            "fax_number": "561-844-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15858 S. W. WARFIELD BLVD.",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349560648",
            "telephone_number": "722-597-3596",
            "fax_number": "772-597-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHEL",
        "first_name": "TAMMY",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260028500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "44834",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiantown, FL

Sources for this page

Verify at the official NPI Registry.