WAYNE TUCKSON


Address: 3920 Dutchmans Ln Ste 315, Louisville, KY 40207-4702
Phone: 5025838005

WAYNE TUCKSON (NPI# 1922039023) 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) 1922039023
Entity Type Individual
Full Name WAYNE TUCKSON
Credential MD
Practice Address 3920 Dutchmans Ln Ste 315
Louisville
KY 40207-4702
Mailing Address 6801 Dixie Hwy
Ste 130
Louisville
KY 40258-3913
Practice Telephone 5025838005
Practice Fax Number 5025838025
Mailing Telephone 5025838005
Mailing Fax Number 5025838025
Enumeration Date 2006-07-06
Last Update Date 2019-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery 30849 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100373940 05
KY 64308497 05

Office Location

Street Address 3920 DUTCHMANS LN STE 315
City LOUISVILLE
State KY
Zip Code 40207-4702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780212688 Alexia Louise Bodamer Student in an Organized Health Care Education/Training Program 142 Chenoweth Lane, Lousiville, KY 40207 2020-03-28
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
1285157586 Dickerson Family Enterprise, LLC Non-emergency Medical Transport (VAN) 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 2017-07-19
1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881988582 Clayton Tyler Ellis Colon & Rectal Surgery Ulp Colorectal Surgery, 401 East Chestnut Street, #710, Louisville, KY 40202-5707 2011-05-31
1720387079 Michelle C Julien Colon & Rectal Surgery 1000 Dupont Rd Ste A, Louisville, KY 40207-4611 2011-03-24
1164570867 Sandra L. Kavalukas Colon & Rectal Surgery 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 2007-01-08
1649366196 Louisville Colorectal Associates LLC Colon & Rectal Surgery 250 East Liberty Street, Suite 610, Louisville, KY 40202-1536 2006-10-04
1568732097 University of Louisville Physicians, Inc. Colon & Rectal Surgery 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 2011-12-30
1205034154 Raymond E. Pierce,jr.,m.d.,p.s.c. Colon & Rectal Surgery 3950 Kresge Way, Suite 201, Louisville, KY 40207-4637 2007-07-03
1003892472 Kelli M. Bullard Dunn Colon & Rectal Surgery 401 E Chestnut St, Suite 710, Louisville, KY 40202-5700 2005-12-19
1942291091 Lowell D Katz Colon & Rectal Surgery 250 E Liberty St, Suite 610, Louisville, KY 40202-1530 2005-10-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750382677 Colorectal Surgical & Gastroenterology Associates Psc Colon & Rectal Surgery 2620 Wilhite Drive, Lexington, KY 40503-3385 2005-08-02
1891790697 Bruce M Belin Colon & Rectal Surgery 2620 Wilhite Dr, Lexington, KY 40503-3385 2005-06-17
1922001833 Colorectal Care of Northern Ky, Pllc Colon & Rectal Surgery 2865 Chancellor Dr, Ste 215, Crestview Hills, KY 41017-3912 2005-05-24
1225470479 Gabie K Ong Colon & Rectal Surgery 613 23rd St Ste 320, Ashland, KY 41101-2877 2013-07-29
1386853190 Jennifer D Rea Colon & Rectal Surgery 2620 Wilhite Dr, Lexington, KY 40503-3385 2007-05-21
1821047549 Alfred Cohen Colon & Rectal Surgery 740 South Limestone, Lexington, KY 40536-0001 2006-05-09
1316948664 Charles L Papp Colon & Rectal Surgery 2620 Wilhite Dr, Lexington, KY 40503-3385 2005-08-09
1902807985 John T Dvorak Colon & Rectal Surgery 2620 Wilhite Dr, Lexington, KY 40503-3385 2005-08-02
1053312041 John M Fox Colon & Rectal Surgery 2620 Wilhite Dr, Lexington, KY 40503-3385 2005-08-02
1669472593 David J Svetich Colon & Rectal Surgery 2620 Wilhite Dr, Lexington, KY 40503-3385 2005-07-21
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Competitor

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City LOUISVILLE
Zip Code 40207

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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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