Active NPI
Sara S Tucker, MD
- Psychiatry Physician
- Cleveland HTS, OH
National Provider Identifier
1881752749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 23781
- Practice address
- 2701 Fairfax Rd
Cleveland HTS, OH 44118-4011 - Phone
- (216) 932-1300
- Fax
- (216) 932-5671
- NPI assigned
- Dec 4, 2006
- Last updated
- Mar 11, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 23781 | OH | Primary |
Addresses
Primary practice location
2701 Fairfax Rd
Cleveland HTS, OH 44118-4011
Mailing address
2701 Fairfax Rd
Cleveland HTS, OH 44118-4011
Phone (216) 932-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23781 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1881752749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 FAIRFAX RD",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441184011",
"telephone_number": "216-932-1300",
"fax_number": "216-932-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 FAIRFAX RD",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441184011",
"telephone_number": "216-932-1300",
"fax_number": "216-932-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "SARA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "23781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.