Active NPI
Richard Tuck, M.D.
- Pediatrics Physician
- Malta, OH
National Provider Identifier
1902882400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35041985T
- Practice address
- 859 N Main St
Malta, OH 43758-9007 - Phone
- (740) 961-6111
- Fax
- (740) 962-2182
- NPI assigned
- Dec 16, 2005
- Last updated
- Jan 10, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35041985T | OH | Primary |
Addresses
Primary practice location
859 N Main St
Malta, OH 43758-9007
Mailing address
859 N Main St
Malta, OH 43758-9007
Phone (740) 961-6111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000018866 | Other | OH | ANTHEM PIN |
| 1293242 | Other | OH | UHC PIN |
| 311413469035 | Other | OH | CARESOURCE PIN |
| 000000177522 | Other | OH | UNISON PIN |
| CA0426 | Other | OH | GROUP MEDICARE |
| 0379906 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35041985T | OH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1902882400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 N MAIN ST",
"city": "MALTA",
"state": "OH",
"postal_code": "437589007",
"telephone_number": "740-961-6111",
"fax_number": "740-962-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 N MAIN ST",
"city": "MALTA",
"state": "OH",
"postal_code": "437589007",
"telephone_number": "740-961-6111",
"fax_number": "740-962-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCK",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35041985T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000018866",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "1293242",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE PIN",
"identifier": "311413469035",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON PIN",
"identifier": "000000177522",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "CA0426",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0379906",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.