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WILLIAM ELLIS TUCKER MD NPI 1316986805


NPI Information

NPI: 1316986805
Provider Name: WILLIAM ELLIS TUCKER, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5108 SANDY LN
FAIRFIELD, OH
ZIP 45014
Phone: (833) 510-4357
Get Directions

William Ellis Tucker, MD is an emergency medicine in Fairfield, OH. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. William Ellis Tucker, MD NPI is 1316986805. 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:

5108 SANDY LN
FAIRFIELD, OH
ZIP 45014-738
Phone: (833) 510-4357

The NPI 1316986805 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 6/6/2006 and was last updated on 9/21/2023.


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
1207P00000XEmergency Medicine54491TENNESSEENo
2207P00000XEmergency MedicineR4489TEXASNo
3207P00000XEmergency Medicine60169114NEW YORKNo
4207P00000XEmergency MedicineG-00063490CALIFORNIANo
5207P00000XEmergency MedicineME133220FLORIDANo
6207P00000XEmergency Medicine49303KENTUCKYNo
7207P00000XEmergency Medicine2016022007MISSOURINo
8207P00000XEmergency Medicine00061NORTH CAROLINANo
9207P00000XEmergency MedicineMD054415LPENNSYLVANIANo
10207P00000XEmergency MedicineMD40001SOUTH CAROLINANo
11207P00000XEmergency Medicine35061655OHIOYes

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
1000000317866OTHERBCBS
2000000380633OTHEROHIOANTHEM/BCBS
30826324MEDICAIDOHIO
4000000377119OTHEROHIOANTHEM/BCBS

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

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.