MEDICARE: WILLIAM ELLIS TUCKER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	54491	TN
2	207P00000X	Emergency Medicine Physician	49303	KY
3	207P00000X	Emergency Medicine Physician	60169114	NY
4	207P00000X	Emergency Medicine Physician	2016022007	MO
5	207P00000X	Emergency Medicine Physician	00061	NC
6	207P00000X	Emergency Medicine Physician	MD054415L	PA
7	207P00000X	Emergency Medicine Physician	MD40001	SC
8	207P00000X	Emergency Medicine Physician	35061655	OH
9	207P00000X	Emergency Medicine Physician	R4489	TX
10	207P00000X	Emergency Medicine Physician	G-00063490	CA
11	207P00000X	Emergency Medicine Physician	ME133220	FL
12	208D00000X	General Practice Physician	35.061655	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000317866	OTHER		BCBS
2	000000380633	OTHER	OH	ANTHEM/BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000377119	OTHER	OH	ANTHEM/BCBS

General Provider Information

NPI Number	:	1316986805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ELLIS TUCKER MD

Provider Business Mailing Address
First Line	:	4600 MONTGOMERY RD STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45212-2600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5108 SANDY LN
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-2738
Country	:	US
Telephone Number	:	833-510-4357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	01/06/2026

Similar Medicare Providers

1174506646 — DR. DALE PATRICK YU MD
Practice Location Address:

5184 SANDY LN
FAIRFIELD, OH
45014-2738

Practice Phone: 513-868-1786
Practice Fax: 513-868-1758

1164405668 — DR. JOSEPH C. YU M.D.
Practice Location Address:

5184 SANDY LN
FAIRFIELD, OH
45014-2738

Practice Phone: 513-868-1786
Practice Fax: 513-868-1758

1104885060 — DR. ANTHONY F. BEHLER M.D.
Practice Location Address:

5150 SANDY LN
FAIRFIELD, OH
45014-2738

Practice Phone: 513-896-9595
Practice Fax: 513-896-4171

1285693010 — HERZIG KRALL MEDICAL GROUP INC.
Practice Location Address:

5150 SANDY LN
FAIRFIELD, OH
45014-2738

Practice Phone: 513-645-1125
Practice Fax:

1073573218 — EDWARD B. HERZIG M.D.
Practice Location Address:

5150 SANDY LN
FAIRFIELD, OH
45014-2738

Practice Phone: 513-896-9595
Practice Fax: 513-896-4171

1811957079 — LISA M. HOFFMAN M.D.
Practice Location Address:

5150 SANDY LN
FAIRFIELD, OH
45014-2738

Practice Phone: 513-896-9595
Practice Fax: 513-896-4171

Directions to “ WILLIAM ELLIS TUCKER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.