DR. ALEXIS XIAOWEI TUCK (NPI# 1205279809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205279809 |
| Entity Type | Individual |
| Full Name | DR. ALEXIS XIAOWEI TUCK |
| Credential | MD |
| Practice Address |
945 Goethals Dr Richland WA 99352-3552 |
| Mailing Address |
10803 Ne 111th Pl Kirkland WA 98033-5014 |
| Practice Telephone | 5099423095 |
| Mailing Telephone | (425) 698-8894 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD60742712 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1205279809 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 55th St, Brooklyn, NY 112202508 | 7186306834 |
| Street Address |
945 GOETHALS DR |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326031220 | Julie A Raekes | Internal Medicine | 945 Goethals Dr, Ste 300, Richland, WA 99352-3552 | 2005-08-25 |
| 1467856161 | Dustin Wade Golding | Physician Assistant | 945 Goethals Dr, Ste. 300, Richland, WA 99352-3552 | 2014-10-09 |
| 1154539088 | Ekta Khurana, Md Pllc | Pediatrics | 945 Goethals Dr, Suite 310, Richland, WA 99352-3552 | 2007-05-21 |
| 1225244379 | Hipolito Mance Custodio IIi | Obstetrics & Gynecology | 945 Goethals Dr, Suite 200, Richland, WA 99352-3552 | 2007-05-15 |
| 1861510851 | Columbia Basin Imaging PC | Specialist | 945 Goethals Dr, Richland, WA 99352-3552 | 2007-03-27 |
| 1114034816 | Fredrick Joseph Bowers | Specialist | 945 Goethals Dr, Ste 210, Richland, WA 99352-3552 | 2006-08-25 |
| 1427061076 | Associated Physicians for Women | Obstetrics & Gynecology | 945 Goethals Dr, Suite 200, Richland, WA 99352-3552 | 2006-08-14 |
| 1972516532 | Pamela Peterson | Registered Nurse | 945 Goethals Dr, Suite 200, Richland, WA 99352-3552 | 2006-08-14 |
| 1962437137 | Kerry Elizabeth Lorenzo | Genetic Counselor, MS | 945 Goethals Dr, Suite 220, Richland, WA 99352-3552 | 2006-07-12 |
| 1407883002 | Stacey Ann Hanrahan | Registered Nurse | 945 Goethals Dr, Suite 300, Richland, WA 99352-3552 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477837771 | Complete Healthcare for Women Pllc | Obstetrics & Gynecology | 1050 Gilmore Ave, Suite A, Richland, WA 99352 | 2011-10-05 |
| 1528214020 | Lisa Michelle Galbraith | Obstetrics & Gynecology | 945 Goethals Drive, Suite 200, Kadlec Clinic, Associated Physicians for Women, Richland, WA 99352 | 2008-08-15 |
| 1205039070 | Jacqueline Allen Wunderly | Obstetrics & Gynecology | 10814 S Interlaken, Richland, MI 49083-8514 | 2007-06-07 |
| 1730202664 | Radhika K Subramanian | Obstetrics & Gynecology | 945 Goethals Suite 200, Kadlec Clinic Associated Physicians for Women, Richland, WA 99352 | 2007-04-07 |
| 1285747873 | Richard C Lorenzo Jr. | Obstetrics & Gynecology | 1050 Gilmore Avenue, Suite A, Richland, WA 99352 | 2006-08-16 |
| 1710954375 | Larry D Smith | Obstetrics & Gynecology | 945 Goethals Drive, Suite 200, Richland, WA 99352 | 2006-03-02 |
| 1255302972 | Kris Francis Kobalter | Obstetrics & Gynecology | 945 Goethals Drive Suite 200, Kadlec Clinic Associated Physicians for Women, Richland, WA 99352 | 2006-01-30 |
| 1427416437 | Zain Medical Center | Obstetrics & Gynecology | 2630 N Columbia Center Blvd, Richland, WA 99352 | 2016-02-04 |
| 1871900662 | Bramar Medical Group Pllc | Obstetrics & Gynecology | 303 Bradley Blvd, Ste 202, Richland, WA 99352-4497 | 2014-07-14 |
| 1134414717 | River Oaks Management Company, LLC | Obstetrics & Gynecology | 1201 Highway 49 S, Suite 1, Richland, MS 39218-9425 | 2011-06-13 |
| Find all providers in RICHLAND | ||||
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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.