WAYNE TUCKSON (NPI# 1922039023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208C00000X | Colon & Rectal Surgery | 30849 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100373940 | 05 | |
KY | 64308497 | 05 |
Street Address |
3920 DUTCHMANS LN STE 315 |
City | LOUISVILLE |
State | KY |
Zip Code | 40207-4702 |
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 |
Find all providers in zip 40207 |
Taxonomy Code | 208C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Colon & Rectal Surgery |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | LOUISVILLE |
Zip Code | 40207 |
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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.