Wayne B Tuckson (NPI# 1922039023, PAC ID# 8820080153) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1922039023 |
| PAC ID by PECOS | 8820080153 |
| Professional Enrollment ID | I20040330000782 |
| Full Name | Wayne B Tuckson |
| Organization Legal Name | KOMG-LOUISVILLE REGION INC |
| Address |
250 E Liberty St Suite 802 Louisville KY 40202-1537 |
| Phone Number | 5025838005 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 5799021259 |
| Number of Group Practice Members | 293 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| 180130 | BAPTIST HEALTH LOUISVILLE |
| Address | Phone | Organization |
|---|---|---|
| 250 E Liberty St, Suite 802, Louisville, KY 40202-1537 | 5025838005 | KOMG-LOUISVILLE REGION INC |
| Organization Legal Name | KOMG-LOUISVILLE REGION INC |
| Physicians | 228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Troutman | Nurse Practitioner | Komg-louisville Region Inc | 908 Dupont Rd, Louisville, KY 40207-4602 |
| Jamie L Greenert | Nurse Practitioner | Komg-louisville Region Inc | 4423 Bardstown Rd, Louisville, KY 40218-3235 |
| Crystal N Weathers | Nurse Practitioner | Komg-louisville Region Inc | 8111 Bardstown Rd, Louisville, KY 40291-3441 |
| Lindsey Winfield | Nurse Practitioner | Komg-louisville Region Inc | 1607 Dixie Hwy, Louisville, KY 40210-1745 |
| Melissa R Lamaster | Nurse Practitioner | Komg-louisville Region Inc | 9569 Taylorsville Rd, Suite 109, Louisville, KY 40299-2751 |
| Ivan A Calderon | Family Medicine | Komg-louisville Region Inc | 5100 Outer Loop, Louisville, KY 40219-3023 |
| Sara A Miller | Nurse Practitioner | Komg-louisville Region Inc | 1900 Bluegrass Ave, Suite 300, Louisville, KY 40215-1183 |
| Christopher D Combs | Internal Medicine | Komg-louisville Region Inc | 175 S English Station Rd, Suite 226, Louisville, KY 40245-4199 |
| Christopher John Theuer | General Surgery | Komg-louisville Region Inc | 60 Stonecrest Ct, Suite 140, Shelbyville, KY 40065-8156 |
| John N Olsofka | General Surgery | Komg-louisville Region Inc | 4402 Churchman Ave, Louisville, KY 40215-1190 |
| Street Address |
250 E LIBERTY ST SUITE 802 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40202-1537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafi A Hasan | Internal Medicine | Midwest Internal Medicince P.s.c | 250 E Liberty St, Suite 420, Louisville, KY 40202-1530 |
| Nuzhat Hasan | Critical Care (intensivists) | Midwest Internal Medicince P.s.c | 250 E Liberty St, Suite 420, Louisville, KY 40202-1530 |
| Jennifer Lynn Walden-fain | Internal Medicine | Greater Louisville Internal Medicine Psc | 250 E Liberty St, Suite 410, Louisville, KY 40202-1535 |
| John D Rumisek | Cardiac Surgery | 250 E Liberty St, Suite 900, Louisville, KY 40202-1538 | |
| Isabelita P Wijangco | Internal Medicine | Greater Louisville Internal Medicine Psc | 250 E Liberty St, Suite 410, Louisville, KY 40202-1535 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Becker | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Elizabeth A Mills | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Barry R Pecha | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Ryan J Malone | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephan J Sweitzer | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Kelly M Gollar | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| David H Rosenbaum | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Richard N Medley Iii | Urology | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephanie A Corbett | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Stephanie A Flaspoehler | Nurse Practitioner | First Urology Psc | 100 E Market St, Louisville, KY 40202-1306 |
| Find all physicians in zip 40202 | |||
| City | LOUISVILLE |
| Zip Code | 40202 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | LOUISVILLE + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Wayne B Tuckson.
| 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.