MEDICARE: MARK T TUCKER JR.

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	373H00000X	Day Training/Habilitation Specialist		OH

General Provider Information

NPI Number	:	1992632814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK T TUCKER JR.

Provider Business Mailing Address
First Line	:	1615 JOSEPH CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-5103
Country	:	US
Telephone Number	:	513-283-5080
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 JOSEPH CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-5103
Country	:	US
Telephone Number	:	513-283-5080
Fax Number	:

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

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

Similar Medicare Providers

1619173937 — MARY TYLE MARY TYLE, MSW
Practice Location Address:

1765 EMERALD GLADE LN
CINCINNATI, OH
45255-5103

Practice Phone: 513-232-7744
Practice Fax:

1083387153 — NIKKIA HITCHCOCK
Practice Location Address:

5103 HAWAIIAN TER APT 6
CINCINNATI, OH
45223-1131

Practice Phone: 513-604-7692
Practice Fax:

1104775733 — CHANELLI D ANGELA KELLY TAYLOR
Practice Location Address:

7002 CONSTITUTION DR
CINCINNATI, OH
45215-5103

Practice Phone: 513-799-7177
Practice Fax:

1205763422 — KEARRA MARTIN
Practice Location Address:

10702 SUNLINER CT
CINCINNATI, OH
45231-1749

Practice Phone: 283-888-5163
Practice Fax:

1265369029 — DR. KAITLYN WHITEKER DC
Practice Location Address:

800 COMPTON RD
CINCINNATI, OH
45231-3826

Practice Phone: 513-931-4300
Practice Fax: 513-898-9149

1518960830 — DR. BRUCE LYLE TETIRICK M.D.
Practice Location Address:

9312 WINTON RD
CINCINNATI, OH
45231-3938

Practice Phone: 513-922-0009
Practice Fax: 513-931-2481

Directions to “ MARK T TUCKER JR. ” 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.