Individual
WILLIAM ELLIS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5108 SANDY LN, FAIRFIELD, OH 45014-2738
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00061
NC
207P00000X
Emergency Medicine Physician
036170034
IL
207P00000X
Emergency Medicine Physician
2016022007
MO
207P00000X
Emergency Medicine Physician
Primary
35.061655CTR
OH
207P00000X
Emergency Medicine Physician
Primary
35061655
OH
207P00000X
Emergency Medicine Physician
49303
KY
207P00000X
Emergency Medicine Physician
54491
TN
207P00000X
Emergency Medicine Physician
60169114
NY
207P00000X
Emergency Medicine Physician
99928
GA
207P00000X
Emergency Medicine Physician
CDR.0003908
CO
207P00000X
Emergency Medicine Physician
G-00063490
CA
207P00000X
Emergency Medicine Physician
MD054415L
PA
207P00000X
Emergency Medicine Physician
MD40001
SC
207P00000X
Emergency Medicine Physician
ME133220
FL
207P00000X
Emergency Medicine Physician
R4489
TX
208D00000X
General Practice Physician
35.061655
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317866
BCBS
—
01
—
000000377119
ANTHEM/BCBS
OH
01
—
000000380633
ANTHEM/BCBS
OH
05
—
0826324
—
OH
Enumeration date
06/06/2006
Last updated
03/30/2026
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