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

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NPI Details

William Ellis Tucker, MD is an emergency medicine in Fairfield, OH with 40 years of experience. 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.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1985

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Critical care, each additional 30 minutes (HCPCS:99292)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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