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DAVID R TUCKER PA NPI 1194709659


NPI Information

NPI: 1194709659
Provider Name: DAVID R TUCKER, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI
ZIP 49801
Phone: (906) 774-1313
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David R Tucker, PA is a physician assistant in Iron Mountain, MI. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. David R Tucker, PA NPI is 1194709659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1721 S STEPHENSON AVE
IRON MOUNTAIN, MI
ZIP 49801-637
Phone: (906) 774-1313
Fax: (906) 776-5639

The enumeration date for this NPI number is 11/30/2005 and was last updated on 7/9/2007.


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
1363A00000XPhysician Assistant5601002228MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P17840002MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMI MEDICARE
2S85980MEDICARE UPINMICHIGAN
341957100MEDICAIDWISCONSIN

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: 5/5/2024

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.