MR. JEFFREY A TUCK PA-C
NPI 1801818067
Physician Assistant - Medical in Lima, OH

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since July 24, 2006PECOS Enrolled

750 W HIGH ST, SUITE 390, LIMA, OH 45801(419) 222-8432(419) 222-9057 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Jeffrey A Tuck Pa-c NPPES

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

MR. JEFFREY A TUCK PA-C (NPI 1801818067) is an individual medical provider in Lima, Ohio, licensed in Ohio (668) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801818067

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JEFFREY A TUCKCredential: PA-C

Location Address750 W HIGH ST, SUITE 390Lima, OH 45801-2969

Mailing Address750 W High St, Suite 390Lima, OH 45801-2969 · (419) 222-8432 · Fax (419) 222-9057

Phone(419) 222-8432

Fax(419) 222-9057

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1801818067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OH · 668

750 W HIGH ST, Lima, OH 45801

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Other Identifiers 4

Medicare UPINY31035OH

Medicare ID-Type UnspecifiedTUPA12722OH · Individual Number

Medicare UPINS66082OH

Medicare ID-Type UnspecifiedIG9352001OH · Group Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey A Tuck Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.