Organization Active NPI

Tucker Cardiology Associates PC

  • Cardiovascular Disease Physician
  • Mechanicsville, VA
National Provider Identifier
1508825241
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Stanley C Tucker, MDNPI 1528027802
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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
005812836MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101117001393 VA Part B Supplier - Clinic/Group Practice 7810183704 Receives reassigned benefits from 1 practitioner
Practice locations: Mechanicsville, VA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.