JOHN O TUCKER (NPI# 1023169539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023169539 |
| Entity Type | Individual |
| Full Name | JOHN O TUCKER |
| Credential | D.C. |
| Practice Address |
202 Allamanda Dr Lakeland FL 33803-2928 |
| Practice Telephone | 8636824182 |
| Practice Fax Number | 8636827319 |
| Mailing Telephone | 8636824182 |
| Mailing Fax Number | 8636827319 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2012-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH1520 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AMERIGROUP | 109435 | 01 |
| STAYWELL | 189493 | 01 | |
| WELLCARE | 189493 | 01 | |
| BCBS HEALTH OPTIONS | 45163 | 01 | |
| FL | 0507164-00 | 05 | |
| FL | AVMED | 272544 | 01 |
| RAIL ROAD MEDICARE | 350053678 | 01 | |
| AETNA | 4407759 | 01 | |
| FL | BLUE CROSS BLUE SHIELD | 89514 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366702219 | John R Tucker | Family Medicine | 178 Lakeview St N, San Benito, TX 78586-5702 | 2012-05-25 |
| 1972765592 | John J Tucker II | Family Medicine | 4672 N Sonoma Ranch Blvd Ste B, Las Cruces, NM 88011-7271 | 2008-06-25 |
| 1083814297 | John D Tucker | Radiology | 9985 Sierra Avenue, Bldg. #3, Dept. of Radiology, Fontana, CA 92335 | 2007-07-25 |
| 1023046786 | John Wade Tucker Jr. | Dentist | 4129 South First St, Milan, TN 38358 | 2006-06-29 |
| 1457347130 | John Patrick Tucker | Family Medicine | 406a Taylor St, Scottsboro, AL 35768-2424 | 2005-09-27 |
| 1558970988 | John Tucker | Nurse Practitioner | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-07-31 |
| 1396231197 | John Tucker | Emergency Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2018-07-03 |
| 1841670395 | John Mcdowell Tucker Jr. | Pharmacist | 120 Highway 14, Simpsonville, SC 29681-6056 | 2015-05-30 |
| 1154737500 | John Tucker | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2014-07-07 |
| 1154741056 | John Michael Tucker | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425 | 2014-04-18 |
| Street Address |
202 ALLAMANDA DR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861865602 | Joseph Soto | Chiropractor | 202 Allamanda Dr, Lakeland, FL 33803-2928 | 2015-11-02 |
| 1336548676 | Alex Erickson | Chiropractor | 202 Allamanda Dr, Lakeland, FL 33803-2928 | 2014-08-21 |
| 1811174246 | O. Nelson Decamp, Jr.,d.c., P.a. | Chiropractor | 202 Allamanda Dr, Lakeland, FL 33803-2928 | 2008-01-29 |
| 1700927464 | John O Tucker Dc Pa | Chiropractor | 202 Allamanda Dr, Lakeland, FL 33803-2928 | 2007-02-08 |
| 1134275191 | Oliver Nelson Decamp Jr. | Chiropractor | 202 Allamanda Dr, Lakeland, FL 33803-2928 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652878 | Trinity Medical Physicians LLC | Chiropractor | 3240 S Florida Ave Ste 100, Lakeland, FL 33803-4574 | 2020-05-29 |
| 1558982629 | Valerie Michelle Roseland | Chiropractor | 1509 S Florida Ave, Lakeland, FL 33803-2258 | 2020-04-30 |
| 1619440112 | Justin Michael Harris | Chiropractor | 2014 E County Road 540a, Lakeland, FL 33813-3739 | 2019-01-07 |
| 1669976171 | Sunshine State Chiropractic LLC | Chiropractor | 2953 Duff Rd, Lakeland, FL 33810-2188 | 2018-03-20 |
| 1609381110 | Joshua Chase Fish | Chiropractor | 8950 Us Highway 64 Ste 104, Lakeland, TN 38002-4566 | 2017-12-06 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1003270307 | Nancy M Bertelmann | Chiropractor | 308 W Highland Dr, Lakeland, FL 33813-1543 | 2016-04-12 |
| 1467841544 | Dr Ransford Robinson LLC | Chiropractor | 2161 E County Road 540a, #156, Lakeland, FL 33813-3794 | 2015-01-13 |
| 1700288644 | South Lakeland Chiropractic Center | Chiropractor | 201 W Christina Blvd Ste 1, Lakeland, FL 33813-9812 | 2014-09-23 |
| 1326449588 | Christopher Ryan Barker | Chiropractor | 780 Small Oak Ln Apt 103, Lakeland, FL 33805-2360 | 2014-09-08 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.