Individual provider Active NPI

Abigail Marie Tucker, MD

  • Obstetrics & Gynecology Physician
  • Mentor, OH
National Provider Identifier
1043229503
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-095029 Issued in OH
Practice address
8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251
Phone
(440) 357-7100
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-095029 OH Primary

Addresses

Primary practice location

8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251

Mailing address

8300 Tyler Blvd Ste 300
Mentor, OH 44060-4251
Phone (440) 357-7100

Other practice location 1

9500 Mentor Ave Ste 220
Mentor, OH 44060-8714
Phone (440) 357-7100

Other practice location 2

7580 Auburn Rd Ste 313
Concord Township, OH 44077-9618
Phone (440) 352-0688

Other practice location 3

36001 Euclid Avenue C-7
Lake Health Physician Group OB/GYN
Willoughby, OH 44094
Phone (440) 602-6710

Other identifiers 2

IdentifierTypeStateIssuer
0890175MedicaidOH
3097036MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abigail.tucker@lhpg.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000931 OH Practitioner - Obstetrics/Gynecology 9638295017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Obstetrics and Gynecology, IncGroup PAC ID 5799794350, 6 clinicians

Practice addresses (Care Compare)

8300 Tyler Blvd
Suite 300
Mentor, OH 44060-4251
Phone (440) 357-7100

9500 Mentor Ave
Suite 220
Mentor, OH 44060-8714
Phone (440) 357-7100

Hospital & facility affiliations

  • Lake Health Hospital, Concord, OH, CCN 360098

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-095029OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System Inc Obstetrics & Gynecology Current Accepting new patients
Lake Hospital System, Inc CurrentSince Aug 3, 2010 Accepting new patients
Lake Hospital System CurrentSince Aug 3, 2010 Accepting new patients
Lake Obstetrics and Gynecology, Inc Obstetrics & Gynecology Current Accepting new patients
Lake Obstetrics and Gynecology, Inc Obstetrics & Gynecology CurrentSince Feb 8, 2022 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients

Locations

7580 Auburn Rd
Ste 313
Concord Township, OH 44077
Phone (440) 330-8649

8300 Tyler Blvd
Ste 300
Mentor, OH 44060
Phone (440) 205-1529

9500 Mentor Ave
Ste 220
Mentor, OH 44060
Phone (440) 357-7100

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36001 Euclid Ave
#C7
Willoughby, OH 44094
Phone (440) 602-6710

5105 Som Center Rd
Ste 201
Willoughby, OH 44094
Phone (440) 602-6710

Interoperability endpoints

  • Direct secure messaging: atucker220024@ehrdirect.uhhospitals.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1043229503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD STE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604251",
            "telephone_number": "440-357-7100",
            "fax_number": "440-357-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TYLER BLVD STE 300",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604251",
            "telephone_number": "440-357-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Mentor Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440608714",
            "country_code": "US",
            "telephone_number": "440-357-7100",
            "fax_number": "440-357-8132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7580 Auburn Rd Ste 313",
            "address_purpose": "LOCATION",
            "city": "Concord Township",
            "state": "OH",
            "postal_code": "440779618",
            "country_code": "US",
            "telephone_number": "440-352-0688",
            "fax_number": "440-352-3724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36001 Euclid Avenue C-7",
            "address_2": "Lake Health Physician Group OB/GYN",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "44094",
            "country_code": "US",
            "telephone_number": "440-602-6710",
            "fax_number": "440-269-8107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ABIGAIL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-095029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0890175",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097036",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abigail.tucker@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "5105 SOM Center Road",
            "address_2": "Suite 201",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.