Active NPIIndividual provider

Heidi M Tucker, DO

Family Medicine in Putnam, Connecticut

NPI Number1871905018
Practice location
202 Pomfret St, Putnam, CT 06260
Fax
—
Last updated
July 9, 2019

Heidi Marie Tucker is a Family Medicine based in Putnam, CT. Heidi Marie Tucker practices in Putnam, CT and has the professional credentials of DO. The NPI Number for Heidi Marie Tucker is 1871905018 and holds a License No. 271687 (MA). The current practice location address for Heidi Marie Tucker is 202 Pomfret St, Putnam, CT 06260 and can be reached out via phone at 860-963-7917.

Provider Profile Details

NPI Number
1871905018
Provider Name
Heidi Marie Tucker
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
202 Pomfret St, Putnam, CT 06260
Phone Number
860-963-7917
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2014
Last Update Date
July 9, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
202 Pomfret St
Putnam, CT 06260
City
Putnam
Zip
06260
Phone Number
860-963-7917
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
40 Mansfield Ave
Willimantic, CT 06226-2018
City
Willimantic
State
CT
Zip
06226-2018
Phone Number
860-963-7916

License Information

License Number (1)
271687
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
63797
License State (2)
CT
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heidi M Tucker, DO?

The NPI number of Heidi M Tucker, DO is 1871905018. It was assigned on May 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Heidi M Tucker, DO?

Heidi M Tucker, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 271687.

Where does Heidi M Tucker, DO practice?

The practice location is 202 Pomfret St, Putnam, CT 06260. The office can be reached at 860-963-7917 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871905018 directly on the NPPES registry website.

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