Individual provider Active NPI

Catherine S Tucker, MD

  • Surgical Oncology Physician
  • Medford, MA
National Provider Identifier
1730130832
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
79390 Issued in MA
Practice address
49 Governors Ave
Hallmark Health Medical Associates Inc
Medford, MA 02155-3017
Phone
(781) 395-6122
Fax
(781) 395-2595
NPI assigned
May 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 79390 MA Primary

Addresses

Primary practice location

49 Governors Ave
Hallmark Health Medical Associates Inc
Medford, MA 02155-3017

Mailing address

49 Governors Ave
Hallmark Health Medical Associates Inc
Medford, MA 02155-3017
Phone (781) 395-6122

Other identifiers 1

IdentifierTypeStateIssuer
3150640MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051207000439 MA Practitioner - Surgical Oncology 1951322841 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Tufts University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates, Inc.Group PAC ID 6002946928, 155 clinicians

Practice addresses (Care Compare)

70 E St
Methuen, MA 01844-4597
Phone (978) 687-0151

Hospital & facility affiliations

  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy14
Removal of tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC CurrentSince Oct 30, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 1, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 1, 2019 Accepting new patients
Hallmark Health Medical Associates Inc CurrentSince Aug 20, 2007 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

198 Groton Rd
Ste 3
Ayer, MA 01432
Phone (978) 784-9831

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

62 Brown St
Ste 200
Haverhill, MA 01830
Phone (978) 478-5058

6 Lakeville Business Park
Lakeville, MA 02347
Phone (508) 947-7558

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

101 Main St
Ste 216
Medford, MA 02155
Phone (781) 620-4717

70 East St
Fl 1
Methuen, MA 01844
Phone (978) 682-2310

70 East St
Methuen, MA 01844
Phone (978) 682-1906

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

18 Main St
Ste 104
Townsend, MA 01469
Phone (978) 597-9091

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 3

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1730130832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 GOVERNORS AVE",
            "address_2": "HALLMARK HEALTH MEDICAL ASSOCIATES INC",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553017",
            "telephone_number": "781-395-6122",
            "fax_number": "781-395-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 GOVERNORS AVE",
            "address_2": "HALLMARK HEALTH MEDICAL ASSOCIATES INC",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021553017",
            "telephone_number": "781-395-6122",
            "fax_number": "781-395-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "CATHERINE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-13",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MA",
            "license": "79390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150640",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.