DR. DANIEL JAY TUCKER DPM NPI 1396744959

NPI Information

NPI: 1396744959
Provider Name: DR. DANIEL JAY TUCKER, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
4901 RALEIGH COMMON DRIVE
MEMPHIS, TN
ZIP 38128
Phone: (901) 363-3600
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DR. Daniel Jay Tucker, DPM is a foot and ankle surgery podiatrist in Memphis, TN with 28 years of experience. DR. Daniel Jay Tucker, DPM NPI is 1396744959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1996

The provider's business location address is:

4901 RALEIGH COMMON DRIVE
MEMPHIS, TN
ZIP 38128
Phone: (901) 363-3600
Fax: (901) 363-3500

The NPI 1396744959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2005 and was last updated on 7/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4705	CALIFORNIA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	POD001177	GEORGIA	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	25MD00242700	NEW JERSEY	No
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	N005485	NEW YORK	No
5	213ES0103X	Podiatrist	Foot & Ankle Surgery	00000833	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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