Provider Demographics
NPI:1578578324
Name:TUCKAHOE ORTHOPAEDIC ASSOCIATES, LTD
Entity Type:Organization
Organization Name:TUCKAHOE ORTHOPAEDIC ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNBALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-527-2800
Mailing Address - Street 1:8100 THREE CHOPT ROAD
Mailing Address - Street 2:SUITE 119
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229
Mailing Address - Country:US
Mailing Address - Phone:804-527-2800
Mailing Address - Fax:804-420-1075
Practice Address - Street 1:1501 MAPLE AVE
Practice Address - Street 2:NW MOB SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2553
Practice Address - Country:US
Practice Address - Phone:804-285-2300
Practice Address - Fax:804-285-8420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC00364Medicare PIN
VA0389900001Medicare NSC
VAC03981Medicare PIN
VAC10125Medicare PIN