SHATON TUCKER (NPI# 1578033452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
1791 ALUM CREEK DR |
City | COLUMBUS |
State | OH |
Zip Code | 43207-1708 |
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 |
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 Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
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] |
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 |
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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.