Active NPI
Stacy Robin Tam, D.C.
- Chiropractor
- Marion, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3100
- Practice address
- 238 Wareham Rd
Marion, MA 02738-1166 - Phone
- (508) 748-6633
- Fax
- (508) 748-6649
- NPI assigned
- Nov 20, 2006
- Last updated
- Mar 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3100 | MA | Primary |
Addresses
Primary practice location
238 Wareham Rd
Marion, MA 02738-1166
Mailing address
PO Box 148
Marion, MA 02738-0003
Phone (508) 748-6633
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA96361 | Other | MA | HARVARD PILGRAM |
| 7198894 | Other | MA | AETNA |
| 1614142 | Medicaid | MA | |
| 711883 | Other | MA | ACN NETWORK |
| 711883 | Other | MA | UNITED HEALTHCARE |
| 1265506463 | Other | MA | BMC HEALTHNET |
| Y37172 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
146 Anoka Ave
Barrington, RI 02806-3428
Phone (401) 289-0155
47 Alden Rd
Suite a
Fairhaven, MA 02719-4639
Phone (774) 770-4147
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3100 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Malik Enterprises, Inc. | Chiropractor | Past | Accepting new patients |
Locations
47 Alden Rd
Ste A
Fairhaven, MA 02719
Phone (774) 770-4147
146 Anoka Ave
Barrington, RI 02806
Phone (401) 289-0155
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1265506463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "MARION",
"state": "MA",
"postal_code": "027380003",
"telephone_number": "508-748-6633",
"fax_number": "508-748-6649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 WAREHAM RD",
"city": "MARION",
"state": "MA",
"postal_code": "027381166",
"telephone_number": "508-748-6633",
"fax_number": "508-748-6649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "STACY",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRAM",
"identifier": "AA96361",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7198894",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1614142",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN NETWORK",
"identifier": "711883",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "711883",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "1265506463",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y37172",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.