SHATON TUCKER


Address: 1791 Alum Creek Dr, Columbus, OH 43207-1708
Phone: 6144458131

SHATON TUCKER (NPI# 1578033452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578033452
Entity Type Individual
Full Name SHATON TUCKER
Credential NRCMA
Practice Address 1791 Alum Creek Dr
Columbus
OH 43207-1708
Practice Telephone 6144458131
Mailing Telephone 6144458131
Enumeration Date 2018-12-04
Last Update Date 2018-12-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 1791 ALUM CREEK DR
City COLUMBUS
State OH
Zip Code 43207-1708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245290436 Maryhaven Inc. Clinic/Center 1791 Alum Creek Dr, Columbus, OH 43207-1708 2006-03-23
1073111605 Melinda Swank Social Worker 1791 Alum Creek Dr, Columbus, OH 43207-1708 2020-10-15
1154937225 Victoria Rose George Social Worker 1791 Alum Creek Dr, Columbus, OH 43207-1708 2020-09-23
1023624616 Annis Spence Case Manager/Care Coordinator 1791 Alum Creek Dr, Columbus, OH 43207-1757 2020-09-18
1639781131 Ann Christine Redman Social Worker 1791 Alum Creek Dr, Columbus, OH 43207-1757 2020-08-18
1073121174 Gram Christian Royal Counselor 1791 Alum Creek Dr, Columbus, OH 43207-1757 2020-07-15
1376161893 Patrick Mensah Registered Nurse 1791 Alum Creek Dr, Columbus, OH 43207-1708 2020-07-10
1306463369 Allison Skinner Social Worker 1791 Alum Creek Dr, Columbus, OH 43207-1708 2020-06-25
1659997369 Caileigh Chadwick Social Worker 1791 Alum Creek Dr, Columbus, OH 43207-1708 2020-06-18
1689295313 Melanie Jayne Barnes Case Manager/Care Coordinator 1791 Alum Creek Dr, Columbus, OH 43207-1757 2020-05-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366947913 Mary Elise Hanks Internal Medicine Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 2018-03-27
1699279323 Timothy Ming-li Pian Internal Medicine Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 2018-03-19
1093245763 Royce Scott Home Health 254 E. Barthman Ave, Columbus, OH 43207 2017-06-15
1497207930 Vernon C Murphy Jr. Counselor 1430 S High St Suite 112, Columbus, OH 43207 2016-11-01
1669825931 Ayamba Roselyn Tanyi Social Worker 1791 Alum Creek Drive, Columbus, OH 43207 2016-07-21
1629421268 Tiffany Dawn Hinkle Counselor 1430 S. High St, Suite 112, Columbus, OH 43207 2016-07-19
1457714933 Matthew Isaac Lyons Internal Medicine 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 2016-04-01
1053712976 A Plus Children's Academy Community School Local Education Agency (LEA) 110 Obetz Rd., Columbus, OH 43207 2014-09-10
1407274301 William Hamilton Marshall V Student in an Organized Health Care Education/Training Program 1405 South High St, South High Primary Care Center, Columbus, OH 43207 2014-03-29
1912249665 Laura Romcevich Internal Medicine 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 2013-03-20
Find all providers in zip 43207

Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215241534 Justin Harper Clinic/Center 40 W Gay St, Columbus, OH 43215-2811 2010-07-28
1487978474 Kim C. Florence Md PC Clinic/Center 2525 Skylake Dr, Columbus, GA 31907-2845 2010-03-18
1851351761 Mobile Orthopedic Therapies, LLC Clinic/Center 100 W 3rd Ave, Suite 350, Columbus, OH 43201-3256 2006-03-24
1922077148 Cummins Womens Healthcare LLC Clinic/Center 50 Lazelle Rd E, Columbus, OH 43235-6423 2006-03-17
1457879306 Brookstone Rheumatology Associates Clinic/Center 2443 Brookstone Centre Pkwy Ste A, Columbus, GA 31904-4664 2017-08-30
1639693476 James B Beckham Md Pllc Clinic/Center 255 Baptist Blvd Ste 307, Columbus, MS 39705-2006 2017-08-02
1205281581 Pro-health Services LLC Clinic/Center 1161 Bethel Rd, Suite 303, Columbus, OH 43220-2773 2016-04-25
1578950929 Matthew E. Jones, Od, Inc. Clinic/Center 8967 Antares Ave, Columbus, OH 43240-2012 2015-04-23
1760874473 Farabaugh Chiropractic Office Clinic/Center 2879 E Dublin Granville Rd, Columbus, OH 43231-4063 2015-03-04
1487059416 Palliative Support Center Clinic/Center 2626 17th St, Columbus, IN 47201-5417 2014-11-04
Find all providers in COLUMBUS

Competitor

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City COLUMBUS
Zip Code 43207

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Dataset Information

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.

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