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WAYNE TUCKER DO PA NPI 1770601874


NPI Information

NPI: 1770601874
Provider Name: WAYNE TUCKER DO, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
100 BECKS WOODS DR
SUITE 202
BEAR, DE
ZIP 19701
Phone: (302) 838-1100
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WAYNE TUCKER DO, PA is a family medicine in Bear, DE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WAYNE TUCKER DO, PA NPI is 1770601874. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 BECKS WOODS DR
SUITE 202
BEAR, DE
ZIP 19701-835
Phone: (302) 838-1100
Fax: (302) 838-8962

The provider's authorized official is Wayne Ira Tucker .
The authorized official title is Owner and has the following contact phone number (302) 838-1100.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 4/16/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorF1-0000484DELAWARENo
2207Q00000XFamily MedicineC2004133DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11770601874OTHERDELAWAREBCBS
20100579OTHERDELAWAREUNITED HEALTHCARE
34331251OTHERDELAWAREAETNA
40001131503MEDICAIDDELAWARE
5G00654MEDICARE PINDELAWARE
6116893OTHERDELAWARECOVENTRY

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.