Provider Demographics
NPI:1144208224
Name:TUCKER, JAMES C JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:TUCKER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:800 FAIR PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-1720
Mailing Address - Country:US
Mailing Address - Phone:501-666-2824
Mailing Address - Fax:501-666-9653
Practice Address - Street 1:600 S MCKINLEY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-666-2824
Practice Address - Fax:501-666-9653
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARC-7983207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR130744001Medicaid
AR5B365C207OtherMEDICARE
AR5B365C207OtherMEDICARE
AR130744001Medicaid