STEPHANIE TUCKER (NPI# 1104228154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104228154 |
| Entity Type | Individual |
| Full Name | STEPHANIE TUCKER |
| Credential | AA |
| Practice Address |
4700 Waters Ave Memorial Health Anesthetists Savannah GA 31404-6220 |
| Practice Telephone | 9123508977 |
| Practice Fax Number | 9123507036 |
| Mailing Telephone | 9123508977 |
| Mailing Fax Number | 9123507036 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 6370 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275867095 | Stephanie M Tucker | Case Manager/Care Coordinator | 7731 E Northern Lights Blvd Ste 210, Anchorage, AK 99504-3572 | 2009-09-25 |
| 1124273099 | Stephanie Dawn Tucker | Counselor | 2206 Kaen Rd, Oregon City, OR 97045-4048 | 2008-11-19 |
| 1215560057 | Stephanie Tucker | Nurse Practitioner | 1150 E College St, Pulaski, TN 38478-4519 | 2020-02-20 |
| 1881165066 | Stephanie Tucker | Registered Nurse | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2018-12-16 |
| 1104336866 | Stephanie Brooke Tucker | Social Worker | 1 Starling Ave, Martinsville, VA 24112-2921 | 2017-10-09 |
| 1366827289 | Stephanie Rose Tucker | Physical Therapy Assistant | 885 S Parsons Ave, Brandon, FL 33511-6063 | 2015-07-21 |
| 1902293079 | Stephanie Tucker | Specialist/Technologist, Other | 3900 Essex Ln, 500, Houston, TX 77027-5133 | 2015-04-16 |
| 1043632995 | Stephanie Tucker | Speech-Language Pathologist | 912 S Gay St, Knoxville, TN 37902-1814 | 2014-01-13 |
| 1881985927 | Stephanie Marie Tucker | Counselor | 220 Ruskin Drive, Colorado Springs, CO 80910 | 2011-04-24 |
| 1124322631 | Stephanie Tucker | Respiratory Therapist, Registered | 12011 Lee Jackson Highway, Fairfax, VA 20120 | 2010-12-28 |
| Street Address |
4700 WATERS AVE MEMORIAL HEALTH ANESTHETISTS |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012010 | Peter M Britt | Radiology | 4700 Waters Ave, Savannah, GA 31404-6220 | 2005-06-08 |
| 1255938288 | Mckenna Maria Valencia | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-10-02 |
| 1184239451 | Avery Thomas Helms | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-09-13 |
| 1619580800 | Matthew Shannon | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-26 |
| 1679184840 | Anna Tincher | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-12 |
| 1669083168 | Christie Vernon Klinginsmith | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-10 |
| 1396355004 | Noah Radjenovic | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-06 |
| 1558987115 | Alyssa Nadji | Registered Nurse | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-06-19 |
| 1952926065 | Mary Helen Ondriezek | Registered Nurse | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-06-15 |
| 1326661463 | Danielle Marie Carroll | Pharmacist | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942759014 | Tatsiana Shakhmuts | Anesthesiologist Assistant | 435 Habersham St, Savannah, GA 31401-5632 | 2016-09-29 |
| 1669818258 | Christa Marie Baker | Anesthesiologist Assistant | 111 Radick Dr, Savannah, GA 31406-3230 | 2013-05-22 |
| 1386681492 | John W Sieber II | Anesthesiologist Assistant | 18 Half Penny Cir, Savannah, GA 31411-2706 | 2006-05-31 |
| 1255938288 | Mckenna Maria Valencia | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-10-02 |
| 1851998017 | Elyssa Whitley | Anesthesiologist Assistant | 5353 Reynolds St, Savannah, GA 31405-6015 | 2020-10-01 |
| 1184239451 | Avery Thomas Helms | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-09-13 |
| 1619580800 | Matthew Shannon | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-26 |
| 1679184840 | Anna Tincher | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-12 |
| 1669083168 | Christie Vernon Klinginsmith | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-10 |
| 1396355004 | Noah Radjenovic | Anesthesiologist Assistant | 4700 Waters Ave, Savannah, GA 31404-6220 | 2020-08-06 |
| Find all providers in SAVANNAH | ||||
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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.