Tina L Furcolo, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

234396 Issued in MA

Practice address

421 N Main St
Leeds, MA 01053-9764

Phone

(413) 584-4040

Fax

(413) 582-3185

NPI assigned

Jul 16, 2006

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley Medical Group, P.C.

  • Family Medicine Physician
  • Greenfield, MA
  • NPI 1912924705

  Internal Medicine

  Medicare reassignment NPD
• Valley Medical Group, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Easthampton, MA
  • NPI 1982738118

  Internal Medicine

  NPD
• Holyoke Health Center Inc.

  dba Chicopee Health Center

  • Community Health Clinic/Center
  • Chicopee, MA
  • NPI 1518948595
  NPD (past)
• Holyoke Health Center Inc.

  • Community Health Clinic/Center
  • Holyoke, MA
  • NPI 1740271022
  NPD (past)
• St. Mary's Medical Center of Campbell County, Inc.

  • General Acute Care Hospital
  • La Follette, TN
  • NPI 1366423782
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1932126000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N MAIN ST",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010539764",
            "telephone_number": "413-584-4040",
            "fax_number": "413-582-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N MAIN ST",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010539764",
            "telephone_number": "413-584-4040",
            "fax_number": "413-582-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURCOLO",
        "first_name": "TINA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "47277",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110083640A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J42841",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Foley, OTR/L
• Shelly A Fowler, PA-C
• Mark Louis Fox, RPH
• Joyce Meier Fredrick, RD
• George F. Fuller, M.D.
• Isabella Dancy Gabrielson
• Stanley Gajda, LMHC
• Maria Bernice Garcia-Hernandez, LICSW
• Kimberly Gauert, MA
• Christopher Matthew Gaunya, L.AC.

• Internal Medicine Physician in Leeds, MA
• Providers in Leeds, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.