NPIMap

Organization Active NPI

Razzak Tucker Kafonek & Hansen MD PA

  • Gastroenterology Physician
  • Lutherville, MD
National Provider Identifier
1851402937
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RAZZAK TUCKER KAFONEK & HANSEN MD PA
Practice address
10751 Falls Rd
Suite 303
Lutherville, MD 21093-4517
Phone
(410) 583-2630
Fax
(410) 583-7186
NPI assigned
Aug 31, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Harold Tucker, M.D.NPI 1790769370
Title
Secretary
Phone
(410) 583-2630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

10751 Falls Rd
Suite 303
Lutherville, MD 21093-4517

Mailing address

10751 Falls Rd
Suite 303
Lutherville, MD 21093-4517
Phone (410) 583-2630

National Provider Directory

National Provider Directory

Locations

10751 Falls Rd
Ste 303
Timonium, MD 21093
Phone (410) 583-2630

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1851402937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10751 FALLS RD",
            "address_2": "SUITE 303",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934517",
            "telephone_number": "410-583-2630",
            "fax_number": "410-583-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 FALLS RD",
            "address_2": "SUITE 303",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934517",
            "telephone_number": "410-583-2630",
            "fax_number": "410-583-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAZZAK TUCKER KAFONEK & HANSEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "410-583-2630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.