DR. PETER LOREN TUCKER (NPI# 1538127329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538127329 |
Entity Type | Individual |
Full Name | DR. PETER LOREN TUCKER |
Credential | MD |
Practice Address |
300 Billingsley Rd Suite 105 Charlotte NC 28211 |
Mailing Address |
300 Billingley Rd Suite 105 Charlotte NC 28211 |
Practice Telephone | 7043752222 |
Practice Fax Number | 7043756008 |
Mailing Telephone | 7043752222 |
Mailing Fax Number | 7043756008 |
Enumeration Date | 2006-05-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | 31213 | NC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598715971 | Peter George Tucker | Family Medicine | 655 W 13 Mile Rd, Madison Heights, MI 48071-1850 | 2006-05-10 |
1336149442 | Peter Joseph Tucker | Urology | 4310 Londonderry Rd, Suite 101, Harrisburg, PA 17109-5300 | 2005-07-29 |
Street Address |
300 BILLINGSLEY RD SUITE 105 |
City | CHARLOTTE |
State | NC |
Zip Code | 28211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528056314 | Michael J Trombley | Family Medicine | 300 Billingsley Rd, Suite 204, Charlotte, NC 28211-1075 | 2005-10-06 |
1750789301 | Vitality Plus Pa | Non-Pharmacy Dispensing Site | 300 Billingsley Rd, Suite 204, Charlotte, NC 28211-1075 | 2014-12-15 |
1447674866 | Memory Center Charlotte, Pllc | Family Medicine | 300 Billingsley Rd, Suite 108, Charlotte, NC 28211-1075 | 2014-02-05 |
1811337835 | Trina Diabetes of Charlotte, Pllc | Clinic/Center | 300 Billingsley Rd, Suite 108, Charlotte, NC 28211-1075 | 2013-07-05 |
1104145390 | The Presbyterian Hospital | Preventive Medicine | 300 Billingsley Rd, Suite 105, Charlotte, NC 28211-1084 | 2010-05-27 |
1023345097 | Armen Balasanyan | Dentist | 300 Billingsley Rd, Suite 202, Charlotte, NC 28211-2990 | 2009-11-11 |
1568626653 | Kristie Nicole Ennis | Physician Assistant | 300 Billingsley Rd, Suite 200, Charlotte, NC 28211-1075 | 2008-07-17 |
1225229073 | Pamela S Whitley | Nurse Practitioner | 300 Billingsley Rd, Suite 105, Charlotte, NC 28211-1075 | 2007-08-07 |
1205904448 | Tarun K Narang | Internal Medicine | 300 Billingsley Rd, Suite 301, Charlotte, NC 28211-1075 | 2006-12-04 |
1891719878 | Barbara Ann Sharp | Nurse Practitioner | 300 Billingsley Rd, Suite 108, Charlotte, NC 28211-1075 | 2006-07-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
1639479595 | Edward Joseph Bednar | Plastic Surgery | 439 N Wendover Rd, Charlotte, NC 28211-1064 | 2010-10-26 |
1053452615 | Jarrod Ryan Daniel | Plastic Surgery | 2215 Randolph Road, Charlotte, NC 28207 | 2007-02-08 |
1255479895 | Adam Christian Augenstein | Plastic Surgery | 11835 Southmore Dr, Ste 202, Charlotte, NC 28277-4466 | 2007-02-04 |
1851452296 | Kenneth Penn Bullard | Plastic Surgery | 1225 Charter Place, Charlotte, NC 28211-5503 | 2006-12-12 |
1144328493 | Michael H Carstens | Plastic Surgery | 1719 South Blvd # B, Charlotte, NC 28203-4727 | 2006-09-20 |
1902888977 | Hope Sherie | Plastic Surgery | 325 Arlington Ave # B, Charlotte, NC 28203-4271 | 2005-11-16 |
1124029707 | Gregory Allen Mantooth | Plastic Surgery | 5815 Blakeney Park Dr Ste 100, Charlotte, NC 28277-5732 | 2005-08-09 |
1912370602 | Aesthetic Surgery of Charlotte Pllc | Plastic Surgery | 11835 Southmore Dr, Suite 202, Charlotte, NC 28277-4466 | 2015-11-04 |
1225437643 | Queen City Plastic Surgery Pllc | Plastic Surgery | 3025 Springbank Ln, Suite 240, Charlotte, NC 28226-3362 | 2014-08-21 |
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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.