DR. LYNN MOORE TUCKER (NPI# 1528066909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528066909 |
| Entity Type | Individual |
| Full Name | DR. LYNN MOORE TUCKER |
| Credential | M.D. |
| Practice Address |
2728 Sunset Blvd Suite 104 West Columbia SC 29169-4840 |
| Practice Telephone | 8039392722 |
| Practice Fax Number | 8039392723 |
| Mailing Telephone | 8039392722 |
| Mailing Fax Number | 8039392723 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2013-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 041695 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000721828B | 05 | |
| SC | G41695 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245397397 | Lynn Z. Tucker | Dermatology | 7388 Highland Rd, Ste. A, Baton Rouge, LA 70808-6601 | 2007-01-01 |
| 1528331519 | Lynn Marie Tucker | Dietitian, Registered | 9977 Woods Dr, Ste 800, Skokie, IL 60077-1057 | 2012-02-22 |
| 1356655799 | Lynn Aileen Tucker | Massage Therapist | 1407 Wyoming Ave, Billings, MT 59102-5301 | 2010-07-27 |
| 1245398510 | Lynn R. Tucker | Optometrist | 2020 Jackson Blvd, Suite 1, Rapid City, SD 57702-3484 | 2006-12-05 |
| Street Address |
2728 SUNSET BLVD SUITE 104 |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019453 | Lexington Health Inc | Durable Medical Equipment & Medical Supplies | 2728 Sunset Blvd, West Columbia, SC 29169-4840 | 2020-10-08 |
| 1265979827 | Jennifer Kathleen Marsh | Nurse Practitioner | 2728 Sunset Blvd, Suite 300, West Columbia, SC 29169-4840 | 2017-01-20 |
| 1699217810 | Katelyn H Call | Nurse Practitioner | 2728 Sunset Blvd, Suite 300, West Columbia, SC 29169-4840 | 2016-11-07 |
| 1912399742 | Shannon Uyeda Burrell | Nurse Practitioner | 2728 Sunset Blvd, Suite 300, West Columbia, SC 29169-4840 | 2015-03-03 |
| 1033469176 | Lexington County Health Services District, Inc. | Surgery | 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 | 2012-09-17 |
| 1134362320 | Todd Samuel Lefkowitz | Surgery | 2728 Sunset Blvd, Ste 105, West Columbia, SC 29169 | 2009-04-17 |
| 1417119017 | South Carolina Heart Center Pa | Internal Medicine | 2728 Sunset Blvd, Ste 401, West Columbia, SC 29169-4840 | 2008-06-26 |
| 1033393145 | Lexington County Health Services District, Inc. | Obstetrics & Gynecology | 2728 Sunset Blvd, Suite 106, West Columbia, SC 29169 | 2007-12-26 |
| 1013197631 | Truesdale & Morrow Urology | Urology | 2728 Sunset Blvd, Suite 301, West Columbia, SC 29169-4840 | 2007-11-12 |
| 1013108281 | Teresa Biediger Bowers | Nurse Practitioner | 2728 Sunset Blvd, Suite 402, West Columbia, SC 29169-4840 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124046081 | Lexington County Health Services District, Inc. | Surgery | 146 East Hospital Dr, Suite 430, West Columbia, SC 29169 | 2006-07-18 |
| 1114945078 | Lexington County Health Serv | Surgery | 146 East Hospital Dr Ste 430, West Columbia, SC 29169 | 2006-07-18 |
| 1033184817 | Solon Gray Hughes | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2006-02-23 |
| 1215202148 | Lindsey Eugene Crumlin Jr. | Surgery | 1709 Mobile Ave, Sc Voc Rehab Disability Determination Services, West Columbia, SC 29170-2140 | 2012-03-09 |
| 1962723809 | Jonathan Jay Sexton | Surgery | 2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4839 | 2010-06-15 |
| 1942460746 | Nicholas A. Limperos | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2008-06-15 |
| 1407056922 | Katherine Tatijana Ostapoff | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2007-07-23 |
| 1841490513 | Richard Clark Webb | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2007-07-20 |
| 1427176544 | Roland Rhystmas Craft IIi | Surgery | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2007-03-27 |
| 1992847446 | Raymond S Fryrear II | Surgery | 146 N Hospital Drive, Ste. 310, West Columbia, SC 29169 | 2007-02-13 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.