CHARLES A TUCKER (NPI# 1609828276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609828276 |
| Entity Type | Individual |
| Full Name | CHARLES A TUCKER |
| Credential | PA |
| Practice Address |
1250 S Cedar Crest Blvd Suite 310 Allentown PA 18103-6224 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104026890 |
| Practice Fax Number | 6104026892 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA002218L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497039135 | Charles Lee Tucker I | Counselor | 12925 Ne 59th St, Spencer, OK 73084-8605 | 2011-09-29 |
| 1285848887 | Charles Morton Tucker | Psychologist | 900 Summit La, Oreland, PA 19075-2526 | 2007-05-10 |
| 1831204478 | Charles Thomas Tucker | Internal Medicine | 111 Colonial Way Ste 2, Jesup, GA 31545-0132 | 2006-08-21 |
| 1124055322 | Charles Thomas Tucker | Chiropractor | 2516 Nw 43rd St, Gainesville, FL 32606-7491 | 2006-06-26 |
| 1639173396 | Charles L Tucker | Family Medicine | 195 Hospital Dr, Cherokee Village, AR 72529-7314 | 2005-06-10 |
| 1902405392 | Charles Thomas Tucker IIi | Chiropractor | 3014 Wade Hampton Blvd, Taylors, SC 29687-2716 | 2020-10-19 |
| 1043853278 | Charles Mahlon Tucker | Physical Therapy Assistant | 112 W Citrus St, Altamonte Springs, FL 32714-2502 | 2019-10-21 |
| 1023662921 | Charles Tucker | Pharmacist | 200 S Rachal St, Sinton, TX 78387-2524 | 2019-07-29 |
| 1497255244 | Charles Edward Tucker | Counselor | 3088 Cranberry Hwy Ste A, East Wareham, MA 02538-4800 | 2018-02-19 |
| 1295893030 | Charles Douglas Tucker | Surgery | 300 S 8th St, Suite 205 E, Murray, KY 42071-2400 | 2006-12-05 |
| Street Address |
1250 S CEDAR CREST BLVD SUITE 310 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558062 | Sarah Dolcemascolo | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2005-06-20 |
| 1336782127 | Bella Hearing Systems | Hearing Instrument Specialist | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-10-24 |
| 1942768619 | Allyson Buckshaw | Nurse Practitioner | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-03-12 |
| 1992285712 | Matthew J Cummings | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103-6224 | 2018-08-21 |
| 1841707866 | Tamara Callender | Nurse Practitioner | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-12-30 |
| 1144730227 | Michelle Lynn Gessner | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-10-03 |
| 1104362649 | Matthew Shaw | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 110, Allentown, PA 18103-6224 | 2017-01-09 |
| 1699227314 | Connor Prince | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 310, Allentown, PA 18103-6224 | 2016-10-28 |
| 1649729070 | Sarah Connors | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 215, Allentown, PA 18103-6224 | 2016-09-27 |
| 1285183715 | Samantha Schramak | Physician Assistant | 1250 S Cedar Crest Blvd, #400, Allentown, PA 18103-6224 | 2016-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252185 | Amanda Jane Gower | Physician Assistant | 1605 N Cedar Crest Blvd Ste 110, Allentown, PA 18104-2351 | 2019-08-30 |
| 1104306117 | Sean Duffy | Physician Assistant | 1667 Victoria Cir, Allentown, PA 18103-6474 | 2018-08-19 |
| 1811477300 | Harley Elizabeth Williams | Physician Assistant | 1240 S Cedar Crest Blvd Ste 215, Allentown, PA 18103-6369 | 2018-08-15 |
| 1932621356 | Lauren Dian Demberger | Physician Assistant | 1240 S Cedar Crest Blvd Ste 305, Allentown, PA 18103-6370 | 2017-07-07 |
| 1255773107 | Jacqueline Mary Turner | Physician Assistant | 401 N 17th St Ste 304, Allentown, PA 18104-5051 | 2013-07-20 |
| 1720364110 | Sarah Elizabeth Petruno | Physician Assistant | 401 N 17th St Ste 307, Allentown, PA 18104-5051 | 2011-10-29 |
| 1467755546 | Seth Vaughn | Physician Assistant | 4825 Tilghman Street, Allentown, PA 18104 | 2010-12-13 |
| 1891028122 | Jessica D Zehr | Physician Assistant | 1501 North Cedar Crest Blvd, Allentown, PA 18104-2309 | 2009-09-18 |
| 1275773723 | Samuel James Hertig | Physician Assistant | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2009-02-24 |
| 1497805022 | Wendi A Hontz | Physician Assistant | 1575 Pond Rd Ste 203, Allentown, PA 18104 | 2007-01-12 |
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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.