William S Tucker Jr. (NPI# 1275556193, PAC ID# 3678575768) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1275556193 |
| PAC ID by PECOS | 3678575768 |
| Professional Enrollment ID | I20070201000622 |
| Full Name | William S Tucker Jr. |
| Organization Legal Name | RANDOLPH INTERNAL MEDICINE ASSOCIATES |
| Address |
330 Billingsley Rd Charlotte NC 28211-3096 |
| Phone Number | 7043678415 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4880682160 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 330 Billingsley Rd, Charlotte, NC 28211-3096 | 7043678415 | RANDOLPH INTERNAL MEDICINE ASSOCIATES |
| 330 Billingsley Rd, Suite 100, Charlotte, NC 28211-3096 | 7043678415 | RANDOLPH INTERNAL MEDICINE ASSOCIATES |
| Organization Legal Name | RANDOLPH INTERNAL MEDICINE ASSOCIATES |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly N Montgomery | Nurse Practitioner | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Kevin R Williams | Physician Assistant | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Ashley L Phillips | Physician Assistant | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Beth S Tarkington | Family Medicine | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Youssef Siage | Internal Medicine | Randolph Internal Medicine Associates | 330 Billingsley Rd, Suite 100, Charlotte, NC 28211-3096 |
| Adrian D Hurst | Internal Medicine | Randolph Internal Medicine Associates | 330 Billingsley Rd, Suite 100, Charlotte, NC 28211-3096 |
| Murray Baxter Craven Iii | Internal Medicine | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Gregory V Collins | Internal Medicine | Randolph Internal Medicine Associates | 3030 Randolph Rd, Suite 200, Charlotte, NC 28211-1365 |
| Street Address |
330 BILLINGSLEY RD |
| City | CHARLOTTE |
| State | NC |
| Zip | 28211-3096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shankar Perumal | Neurology | Novant Medical Group Inc | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5020 |
| Ayeshia Wright | Nurse Practitioner | Novant Medical Group Inc | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5020 |
| Eric Michael Deshaies | Neurosurgery | Novant Medical Group Inc | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5020 |
| Charles David Gordon | Neurology | Novant Medical Group Inc | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5020 |
| Ivelisse Olivencia-simmons | Nurse Practitioner | Novant Medical Group Inc | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5020 |
| Mausumi Lidogoster | Neurology | Novant Medical Group Inc | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5020 |
| Youssef Siage | Internal Medicine | Randolph Internal Medicine Associates | 330 Billingsley Rd, Suite 100, Charlotte, NC 28211-3096 |
| James P Battista | Neurology | Novant Medical Group Inc | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5020 |
| Patricia L Campbell | Nurse Practitioner | Novant Medical Group Inc | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5020 |
| Ebinehita Arhebamen | Neurology | Novant Medical Group Inc | 330 Billingsley Rd, Suite 202, Charlotte, NC 28211-5020 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camilla Bird | Clinical Social Worker | Anuvia Prevention and Recovery, Center, Inc | 100 Billingsley Rd, Charlotte, NC 28211-1002 |
| Kelli Martia Keys | Clinical Social Worker | Anuvia Prevention and Recovery, Center, Inc | 100 Billingsley Rd, Charlotte, NC 28211-1002 |
| Meg Shannon Sullivan | Family Medicine | 249 Billingsley Rd, Charlotte, NC 28211-1003 | |
| Lena K White | Family Practice | Mecklenburg County | 249 Billingsley Rd, Charlotte, NC 28211-1003 |
| Jeanmarie M Roberts | Nurse Practitioner | Anuvia Prevention and Recovery, Center, Inc | 429 Billingsley Rd, Charlotte, NC 28211-1007 |
| Hristos C Karanikas | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Amanda H Goodwin | Clinical Social Worker | Carolinas Medical Center | 501 Billingsley Rd B, Charlotte, NC 28211-1009 |
| Rodney A Villanueva | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd A, Charlotte, NC 28211-1009 |
| Walter Carlton Gay Iii | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Rebecca Devonne Silver | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Find all physicians in zip 28211 | |||
| City | CHARLOTTE |
| Zip Code | 28211 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHARLOTTE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on William S Tucker Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.