Active NPI
Tucker Cardiology Associates PC
- Cardiovascular Disease Physician
- Mechanicsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- TUCKER CARDIOLOGY ASSOCIATES PC
- Practice address
- 8409 N Run Medical Dr
Mechanicsville, VA 23116-2309 - Phone
- (804) 559-9902
- Fax
- (804) 559-9904
- NPI assigned
- Mar 21, 2006
- Last updated
- Jan 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stanley C Tucker, MD
- Title
- Owner/Provider
- Phone
- (804) 559-9903
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
8409 N Run Medical Dr
Mechanicsville, VA 23116-2309
Mailing address
8409 N Run Medical Dr
Mechanicsville, VA 23116-2309
Phone (804) 559-9902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005812836 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8266 Atlee Rd
Ste 315
Mechanicsville, VA 23116
Phone (804) 559-9902
8401 N Run Medical Dr
Mechanicsvlle, VA 23116
Phone (804) 559-9902
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Mechanicsville, VA
- NPI 1528027802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737072000000",
"number": "1508825241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8409 N RUN MEDICAL DR",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162309",
"telephone_number": "804-559-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8409 N RUN MEDICAL DR",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162309",
"telephone_number": "804-559-9902",
"fax_number": "804-559-9904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TUCKER CARDIOLOGY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "STANLEY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "804-559-9903",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005812836",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.