Amanda Ruth Tucker (NPI# 1033644216, PAC ID# 8921377979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033644216 |
| PAC ID by PECOS | 8921377979 |
| Professional Enrollment ID | I20170706001905 |
| Full Name | Amanda Ruth Tucker |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Address |
2012 S Park Ave Alexandria IN 46001-8194 |
| Phone Number | 7657246226 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012047640 |
| Number of Group Practice Members | 699 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150088 | ST. VINCENT ANDERSON REGIONAL HOSPITAL |
| 151308 | ST VINCENT MERCY HOSPITAL |
| 150113 | COMMUNITY HOSPITAL OF ANDERSON AND MADISON COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 2012 S Park Ave, Alexandria, IN 46001-8194 | 7657246226 | ST VINCENT MEDICAL GROUP INC |
| Organization Legal Name | ST VINCENT MEDICAL GROUP INC |
| Physicians | 702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J. Lyon | Cardiovascular Disease (cardiology) | St Vincent Medical Group Inc | 10590 N Meridian St, Indianapolis, IN 46290-1028 |
| Mohamad H Yousef | Gastroenterology | St Vincent Medical Group Inc | 2010 W 86th St, Suite 111, Indianapolis, IN 46260-1930 |
| Stephanie Ann Mason | Nurse Practitioner | St Vincent Medical Group Inc | 8402 Harcourt Rd, Indianapolis, IN 46260-2056 |
| Emily Kelly Koffel | Nurse Practitioner | St Vincent Medical Group Inc | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Bobbie Nakole Jellison | Family Medicine | St Vincent Medical Group Inc | 8424 Naab Road Bulding, 1 1e, Indianapolis, IN 46260-1954 |
| Jessica Dawn Augenstine | Nurse Practitioner | St Vincent Medical Group Inc | 5629 Lee Rd, Indianapolis, IN 46216-2003 |
| Hannah Rebekah Thornton | Nurse Practitioner | St Vincent Medical Group Inc | 14828 Greyhound Ct, Suite 100, Carmel, IN 46032-5016 |
| John Gary Quiles | Gastroenterology | St Vincent Medical Group Inc | 1515 N Madison Ave, Anderson, IN 46011-3453 |
| Yvette Monique Caviness-kelley | Nurse Practitioner | St Vincent Medical Group Inc | 2155 E Main St, Plainfield, IN 46168-1816 |
| Erin Michelle Watson | Nurse Practitioner | St Vincent Medical Group Inc | 4778 S Scatterfield Rd, Anderson, IN 46013-2908 |
| Street Address |
2012 S PARK AVE |
| City | ALEXANDRIA |
| State | IN |
| Zip | 46001-8194 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scheri-lyn A Makombe | Family Medicine | Jane Pauley Community Health Center Inc | 121 W Washington St, Jane Pauley Com Hlth Ctr At Alexand, Alexandria, IN 46001-1809 |
| Amber Marie Wisehart | Nurse Practitioner | Jane Pauley Community Health Center Inc | 121 W Washington St, Jane Pauley Com Hlth Ctr At Alexand, Alexandria, IN 46001-1809 |
| Alison Arnold | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 101 N Harrison St, Alexandria, IN 46001-2017 |
| Julie Marie Towery | Nurse Practitioner | Cleanslate Medical Group of Indiana LLC | 101 N Harrison St, Alexandria, IN 46001-2017 |
| Shana K Carmin | Nurse Practitioner | Community Physicians of Indiana Inc | 2116 S Park Ave, Alexandria, IN 46001-8048 |
| David E Haag | Family Medicine | Community Physicians of Indiana Inc | 2116 S Park Ave, Alexandria, IN 46001-8048 |
| Beverly Sue Burns | Nurse Practitioner | Community Physicians of Indiana Inc | 2116 S Park Ave, Alexandria, IN 46001-8048 |
| City | ALEXANDRIA |
| Zip Code | 46001 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ALEXANDRIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda Ruth Tucker.
| 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.