NPIMap

Individual provider Active NPI

Alexander M Tucker, DO

  • Internal Medicine Physician
  • Ashland, OH
National Provider Identifier
1912905845
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-007069 Issued in OH
Practice address
1025 Center St
Ashland, OH 44805-4011
Phone
(419) 207-2370
Fax
(419) 207-2348
NPI assigned
Jul 13, 2005
Last updated
Jul 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-007069 OH Primary
Hospitalist Physician 208M00000X 34007069 OH

Addresses

Primary practice location

1025 Center St
Ashland, OH 44805-4011

Mailing address

PO Box 72098
Cleveland, OH 44192-0002
Phone (513) 557-3330

Other identifiers 1

IdentifierTypeStateIssuer
2099429MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20051117000214 OH Practitioner - Internal Medicine 8426077553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 668-8101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-007069OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
Fisher-Titus Medical Care LLC CurrentSince Dec 23, 2023 Accepting new patients
University Hospitals Medical Group Inc CurrentSince May 1, 2022 Accepting new patients
University Primary Care Practices Inc Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 1, 2016 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Ashland County, LTD. Internal Medicine Past Accepting new patients

Locations

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

1025 Center St
#H
Ashland, OH 44805
Phone (419) 289-0491

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1350 E Market St
Fl 9
Warren, OH 44483
Phone (219) 240-0450

Interoperability endpoints

  • Direct secure messaging: atucker37019@ehrdirect.uhhospitals.org

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1912905845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72098",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "513-557-3330",
            "fax_number": "513-557-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 CENTER ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448054011",
            "telephone_number": "419-207-2370",
            "fax_number": "419-207-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ALEXANDER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-007069",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34007069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099429",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.