Wayne Tuckson, MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

30849 Issued in KY

Practice address

3920 Dutchmans LN Ste 315
Louisville, KY 40207-4702

Phone

(502) 583-8005

Fax

(502) 583-8025

NPI assigned

Jul 6, 2006

Last updated

Sep 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316
  Medicare reassignment NPD
• Kentuckiana Colon and Rectal Surgery, PLLC

  • Colon & Rectal Surgery Physician
  • Louisville, KY
  • NPI 1619908613
  NPD (past) Authorized official
• University of Louisville Physicians, Inc.

  dba ULP Pediatric Pulmonology

  • Pediatric Pulmonology Physician
  • Louisville, KY
  • NPI 1184980963
  NPD
• University of Louisville Physicians, Inc.

  dba ULP Radiological Associates

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• Community Medical Associates, Inc.

  dba Norton Community Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409
  NPD (past)
• University Physicians Group - Radiology

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1619061116
  NPD (past)
• University Surgical Associates, PSC

  • Surgery Physician
  • Louisville, KY
  • NPI 1609847367

  Colon & Rectal Surgery

  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1922039023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY",
            "address_2": "STE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583913",
            "telephone_number": "502-583-8005",
            "fax_number": "502-583-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DUTCHMANS LN STE 315",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074702",
            "telephone_number": "502-583-8005",
            "fax_number": "502-583-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKSON",
        "first_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "KY",
            "license": "30849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64308497",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100373940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia W Tucker, D.M.D.
• Sarah Ann Tucker
• Sarah CB Tucker, OTR/L
• Sierra Tucker, RBT
• Thomas T Tucker, M.D.
• Laura M Tudor, ARNP
• Verda Lee Tudor, CF-SLP
• Priscilla Tukes
• Dylan Tulett
• Molly Tuller, MD

• Colon & Rectal Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Colon & Rectal Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.