GERIATRIC AND PRIMARY CARE SERVICES S C
NPI 1174535900
Internal Medicine - Geriatric Medicine in Marion, IL

Q: What is Geriatric And Primary Care Services S C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since August 12, 2006

1606 CASTLEBERRY DR, MARION, IL 62959(618) 997-9519(618) 993-0592 Get Directions Write a Review

NPPES record last updated: July 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Geriatric And Primary Care Services S C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERIATRIC AND PRIMARY CARE SERVICES S C (NPI 1174535900) is a healthcare organization registered as a geriatric medicine in Marion, Illinois and active in the NPI registry since August 2006. The organization lists Gladstone A Tucker, Owner, as its authorized official.

NPPES Registry Identity

NPI1174535900

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameGERIATRIC AND PRIMARY CARE SERVICES S C

Location Address1606 CASTLEBERRY DRMarion, IL 62959-1586

Mailing AddressPo Box 752Concordia, MO 64020-0752 · (660) 463-1365 · Fax (660) 463-1367

Phone(618) 997-9519

Fax(618) 993-0592

Organization SubpartNo

Authorized OfficialGladstone A TuckerOwner · (618) 542-6152

Enumeration DateAugust 12, 2006

Last NPPES UpdateJuly 25, 2012

✔ NPI 1174535900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in IL · 036111926

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1606 CASTLEBERRY DR, Marion, IL 62959

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Other Identifiers 3

Medicare ID-Type Unspecified210973IL

Medicare ID-Type UnspecifiedDD5755Railroad

Medicare OSCAR/certification213281IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GLADSTONE A TUCKER MD

Internal Medicine (Geriatric Medicine)

1606 CASTLEBERRY DR
MARION, IL 62959

Williamson County (618) 997-9519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geriatric And Primary Care Services S C's NPI number?

The NPI number for Geriatric And Primary Care Services S C is 1174535900. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Geriatric And Primary Care Services S C located?

Geriatric And Primary Care Services S C is located at 1606 Castleberry Dr, Marion, IL 62959. The listed phone number is (618) 997-9519.

What is Geriatric And Primary Care Services S C's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Geriatric And Primary Care Services S C was last updated on July 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.