NPIMap

Individual provider Active NPI

Stanley C Tucker, MD

  • Cardiovascular Disease Physician
  • Mechanicsville, VA
National Provider Identifier
1528027802
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101019973 Issued in VA
Practice address
8401 N Run Medical Dr
Mechanicsville, VA 23116-2309
Phone
(804) 559-9902
Fax
(804) 559-9904
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101019973 VA Primary

Addresses

Primary practice location

8401 N Run Medical Dr
Mechanicsville, VA 23116-2309

Mailing address

8401 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
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117001505 VA Practitioner - Cardiovascular Disease (Cardiology) 8729274618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Virginia School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8409 N Run Medical Dr
Mechanicsville, VA 23116-2309
Phone (804) 559-9902

Hospital & facility affiliations

  • Bon Secours Memorial Regional Medical Center Hospital, Mechanicsville, VA, CCN 490069
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101019973VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Vision & Surgery, PLLC CurrentSince Jul 2, 2020 Accepting new patients
Tucker Cardiology Associates PC Cardiovascular Disease CurrentSince Sep 29, 2010 Accepting new patients
Bon Secours Memorial Regional Medical Center Inc Past Accepting new patients

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

8409 N Run Medical Dr
Mechanicsvlle, VA 23116
Phone (804) 559-9902

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

Organizations & group practices 3

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 8

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1528027802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 N RUN MEDICAL DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162309",
            "telephone_number": "804-559-9902",
            "fax_number": "804-559-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 N RUN MEDICAL DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162309",
            "telephone_number": "804-559-9902",
            "fax_number": "804-559-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "STANLEY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101019973",
            "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

Verify at the official NPI Registry.