NPIMap

Individual provider Active NPI

Corinne Nancy Tuckey-Larus, MD

  • Obstetrics & Gynecology Physician
  • North Chesterfield, VA
National Provider Identifier
1861464695
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101046707 Issued in VA
Practice address
1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Phone
(804) 897-2100
Fax
(804) 897-9074
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101046707 VA Primary

Addresses

Primary practice location

1212 Koger Center Blvd
North Chesterfield, VA 23235-4778

Mailing address

1212 Koger Center Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

Other identifiers 1

IdentifierTypeStateIssuer
6200648MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000438 VA Practitioner - Obstetrics/Gynecology 7113059395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians for Women, LTDGroup PAC ID 8628057924, 46 clinicians

Practice addresses (Care Compare)

1212 Koger Ctr Blvd
North Chesterfield, VA 23235-4778
Phone (804) 897-2100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101046707VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians for Women LTD Obstetrics & Gynecology CurrentSince Jul 1, 1991 Accepting new patients
Central Virginia Gynecologic Oncology PC Past Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients

Locations

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

1212 Koger Center Blvd
North Chesterfield, VA 23235
Phone (804) 408-4654

10710 Midlothian Tpke
Ste 200
North Chesterfield, VA 23235

1775 Lake Harley Dr
Prince George, VA 23875

7605 Forest Ave
Ste 206
Richmond, VA 23229
Phone (804) 272-5808

7611 Forest Ave
Ste 200
Richmond, VA 23229

1630 Wilkes Ridge Pkwy
Ste 200
Richmond, VA 23233
Phone (804) 804-8972

5875 Bremo Rd
Ste 201
Richmond, VA 23226

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.405

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1861464695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354778",
            "telephone_number": "804-897-2100",
            "fax_number": "804-897-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 KOGER CENTER BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354778",
            "telephone_number": "804-897-2100",
            "fax_number": "804-897-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKEY-LARUS",
        "first_name": "CORINNE",
        "middle_name": "NANCY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101046707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6200648",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.