HENRY ST GEORGE TUCKER III (NPI# 1538122486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538122486 |
| Entity Type | Individual |
| Full Name | HENRY ST GEORGE TUCKER III |
| Credential | M.D. |
| Practice Address |
6605 W Broad St Suite A Richmond VA 23230-1714 |
| Mailing Address |
7202 Glen Forest Dr Suite 200 Richmond VA 23226-3781 |
| Practice Telephone | 8042873000 |
| Practice Fax Number | 8042852981 |
| Mailing Telephone | 8046730134 |
| Mailing Fax Number | 8046731796 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2012-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101019972 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS VA | 237398 | 01 |
| VA | MEDICARE PTAN | C01120 | 01 |
| VA | 006051227 | 05 | |
| VA | RR MEDICARE | 830000322 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376916999 | Henry Grady Tucker IIi | Massage Therapist | 11 Sycamore Sq, Decatur, GA 30030-1952 | 2015-11-04 |
| 1518974393 | Henry Tucker | Internal Medicine | 440 Danbury Ln, Ste A, Copley, OH 44321-2963 | 2006-08-02 |
| 1073136313 | Henry Mattia Tucker | Social Worker | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2020-05-21 |
| Street Address |
6605 W BROAD ST SUITE A |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073473 | Elke K Friedman | Internal Medicine | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2005-06-17 |
| 1679103857 | Jessica Rudloff | 6605 W Broad St, Richmond, VA 23230-1714 | 2020-01-16 | |
| 1457997652 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | General Acute Care Hospital | 6605 W Broad St, Richmond, VA 23230-1714 | 2019-11-22 |
| 1518511922 | Jessie O Turner | Nurse Practitioner | 6605 W Broad St, Richmond, VA 23230-1714 | 2019-07-25 |
| 1548743768 | Hem-onc Staffing Solutions, LLC | Internal Medicine | 6605 W Broad St, Richmond, VA 23230-1714 | 2018-09-13 |
| 1831467042 | Ann C Schoeneweis | Registered Nurse | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2011-12-02 |
| 1477868867 | Catherine B Anderson | Nurse Practitioner | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2010-08-10 |
| 1184847055 | Joshua J Mcfarlane | Internal Medicine | 6605 W Broad St, Credentialing Suite A, Richmond, VA 23230-1714 | 2007-04-10 |
| 1922123249 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2007-03-20 |
| 1710017108 | Virginia Cancer Insitute West End | Pharmacy | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144637786 | Toshihisa Satta | Internal Medicine | 1250 E Marshall St # 980509, Richmond, VA 23298-5051 | 2014-07-15 |
| 1013280544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5875 Bremo Rd Ste G11, Mob South, Richmond, VA 23226-1934 | 2012-02-14 |
| 1497906903 | Martin Horenstein | Internal Medicine | 3501 Falstone Rd, Richmond, VA 23234-3721 | 2008-10-02 |
| 1619170461 | Virginia Physicians, Inc. | Internal Medicine | 1423 Johnston Willis Dr, Richmond, VA 23235-4730 | 2007-06-08 |
| 1598802852 | Jeevan Sekhar | Internal Medicine | 1607 Chester Blvd, Richmond, IN 47374-1610 | 2007-01-30 |
| 1205887270 | Bruce O Hough | Internal Medicine | 6505 W Broad St Ste A, Richmond, VA 23230-2013 | 2006-05-15 |
| 1568421568 | Anna Rozaki Sismanis | Internal Medicine | 8919 Three Chopt Rd, 2nd Floor, Richmond, VA 23229-4659 | 2006-03-20 |
| 1366448664 | William Joseph John | Internal Medicine | 789 Eastern Byp, Ste 25, Richmond, KY 40475-2421 | 2005-06-22 |
| 1629073473 | Elke K Friedman | Internal Medicine | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2005-06-17 |
| 1548743768 | Hem-onc Staffing Solutions, LLC | Internal Medicine | 6605 W Broad St, Richmond, VA 23230-1714 | 2018-09-13 |
| Find all providers in RICHMOND | ||||
Please comment or provide details below to improve the information on HENRY ST GEORGE TUCKER III.
| 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.