DR. FORREST LEE TUCKER (NPI# 1295734226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295734226 |
| Entity Type | Individual |
| Full Name | DR. FORREST LEE TUCKER |
| Credential | MD |
| Practice Address |
101 Elm Ave Se Administrative Suite Roanoke VA 24013-2222 |
| Practice Telephone | 5409858592 |
| Practice Fax Number | 5409850475 |
| Mailing Telephone | 5409858592 |
| Mailing Fax Number | 5409850475 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0101035168 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 6600061000 | 05 |
| Street Address |
101 ELM AVE SE ADMINISTRATIVE SUITE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549969 | Andrew Valente | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-08-22 |
| 1063039733 | Kaleb Wesley Lambert | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1275150948 | Andrew Lee Judy | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1639705213 | Kate Yates | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-16 |
| 1528694262 | Emily Guill | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1649806399 | Megan Silber | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1053972190 | Maria Iftikhar | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-27 |
| 1841858883 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-04 |
| 1427515857 | Solstas Lab Partners LLC | Clinical Medical Laboratory | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| 1922552512 | Kuumba Community Health & Wellness, Inc. | Clinic/Center | 321 Tazewell Ave Se, Roanoke, VA 24013-1445 | 2016-08-11 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629481700 | David Phillip Lebel II | Pathology | 1 Riverside Cir Ste 105, Roanoke, VA 24016-4961 | 2014-06-06 |
| 1043529365 | Alden W Dudley Jr. | Pathology | 5909 Winnbrook Dr, Roanoke, VA 24018-7903 | 2010-10-04 |
| 1154562130 | Robert Earl Pooley | Pathology | 5129 Red Stag Rd, Roanoke, VA 24018-8638 | 2009-03-20 |
| 1275532236 | William Emmett Jefferson IIi | Pathology | 1 Riverside Cir, Suite 105, Roanoke, VA 24016-4961 | 2005-07-20 |
| 1760481790 | Linda Mcwey Price | Pathology | Belleview Ave At Jefferson Street, Roanoke, VA 24014 | 2005-07-20 |
| 1619212149 | Eli Nathan Goodman | Pathology | 6600 Northside High School Rd, Roanoke, VA 24019-2825 | 2012-12-10 |
| 1861448904 | Kenneth Martin Algino | Pathology | 1 Riverside Cir, Suite 105, Roanoke, VA 24016-4961 | 2006-05-26 |
| 1407812373 | Robert Earl Budin | Pathology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2006-04-21 |
| 1205835279 | Pragna Dhimant Sheth | Pathology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2005-07-20 |
| 1184623142 | Brian Keith Newman | Pathology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2005-07-20 |
| Find all providers in ROANOKE | ||||
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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.