KENNETH K. TUCKER, M.D. (NPI# 1326234980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326234980 |
| Entity Type | Organization |
| Organization Name | KENNETH K. TUCKER, M.D. |
| Practice Address |
15 Dix St Suite L Winchester MA 01890-1870 |
| Practice Telephone | 7817297294 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | PATRICIA A LANGELL (OFFICE MANAGER) |
| Authorized Official Telephone | 7817297294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
38617 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HPHC | 64462 | 01 | |
| MA | TUFTS | 038617 | 01 |
| BCBS | B54045 | 01 | |
| MA | 2069172 | 05 |
| Street Address |
15 DIX ST SUITE L |
| City | WINCHESTER |
| State | MA |
| Zip Code | 01890-1870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083612360 | Richard L Dallow | Ophthalmology | 15 Dix St, Winchester, MA 01890-1870 | 2005-07-12 |
| 1184858532 | Beacon Facial Plastic Surgery, LLC | Otolaryngology | 15 Dix St, Suite G, Winchester, MA 01890-1870 | 2009-05-13 |
| 1891975157 | Paul Radvany Md PC | Internal Medicine | 15 Dix St, Winchester, MA 01890-1870 | 2007-11-05 |
| 1265639108 | Jonathan L. Adler, M.d., P.C. | Health Maintenance Organization | 15 Dix St, Winchester, MA 01890-1870 | 2007-07-02 |
| 1437285848 | Winchester Orthodontics P.C. | Dentist | 15 Dix St, Suite A, Winchester, MA 01890-1870 | 2007-02-27 |
| 1407915747 | Joy B Cass | Psychiatry & Neurology | 15 Dix St, Winchester, MA 01890-1870 | 2006-12-06 |
| 1215948195 | Frank R Virnelli | Plastic Surgery | 15 Dix St, Winchester, MA 01890-1870 | 2006-08-10 |
| 1598726044 | Patricia A Joyce | Nurse Practitioner | 15 Dix St, Winchester, MA 01890-1870 | 2006-03-31 |
| 1881676591 | Winchester Physician Associates | Internal Medicine | 15 Dix St, Winchester, MA 01890-1870 | 2005-11-17 |
| 1538157987 | William Numa | Otolaryngology | 15 Dix St, Suite G, Winchester, MA 01890-1870 | 2005-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821516436 | Emily Elizabeth Blake | Dietitian, Registered | 107 Cross St Unit A, Winchester, MA 01890 | 2017-09-03 |
| 1750838272 | Barbara Messineo Md Othopedic Surgery and Sports Medicine | Specialist | 8 Winchester Place, Ste 102, Winchester, MA 01890 | 2016-09-01 |
| 1710235007 | Nicole Tara Dieuseul | Social Worker | 80 Skillings Rd, Winchester, MA 01890 | 2012-08-17 |
| 1043589609 | Karen Marie Caputo | Social Worker | 0 Ledgewood Road, Winchester, MA 01890 | 2011-12-27 |
| 1902110695 | Kyla Malone | Nurse Practitioner | 1021 Main St Ste 102, Winchester, MA 01890 | 2010-08-05 |
| 1073843694 | New England Pain Associates, PC | Clinic/Center | 10 Converse Place 4th Floor, Winchester, MA 01890 | 2010-01-04 |
| 1235304528 | Asthma & Allergy Specialists, PC | Clinic/Center | 955 Main St, Ste G-3, Suite G-3, Winchester, MA 01890 | 2008-04-28 |
| 1184742165 | Constance C Rosenberger | Registered Nurse | 49 Cabot St, Winchester, MA 01890 | 2007-03-27 |
| 1225164817 | Susana Cheng Lee | Social Worker | 17 Socrates Way, Winchester, MA 01890 | 2007-02-26 |
| 1538294517 | Joan M Hodges | Social Worker | 898 Main Street, Marcus Associates, Winchester, MA 01890 | 2007-02-22 |
| Find all providers in zip 01890 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679991095 | Swetha Penmasta Alluri | Internal Medicine | 1870 Amherst St Ste 100, Winchester, VA 22601-6254 | 2014-04-02 |
| 1821366923 | Arrhythmia Specialists, PC | Internal Medicine | 1870 Amherst St., 1-c, Winchester, VA 22601 | 2011-12-05 |
| 1588780514 | James Carter Laidlaw | Internal Medicine | Mob II, 190 Campus Blvd Suite 430, Winchester, VA 22601-6718 | 2007-03-21 |
| 1447397906 | Wayne Lawrence Iverson | Internal Medicine | 1300 W Lexington Ave Ste 3, Winchester, KY 40391-1154 | 2007-01-31 |
| 1316974637 | Mircea M Basaraba | Internal Medicine | 155 Hospital Rd Ste G, Winchester, TN 37398-2495 | 2006-06-26 |
| 1871559773 | Ajay Virmani | Internal Medicine | 650 Cedar Creek Grade Ste 100, Winchester, VA 22601 | 2006-04-21 |
| 1841279916 | Juan Pittaluga | Internal Medicine | 817 Cedar Creek Grade, Suite 100, Winchester, VA 22601-2706 | 2006-01-17 |
| 1871596924 | Philip J O'donnell | Internal Medicine | 104 Selma Dr, Winchester, VA 22601-3834 | 2005-05-23 |
| 1124554357 | Winchester Physician Associates Inc | Internal Medicine | 1021 Main Street, Suite 1, Winchester, MA 01890 | 2017-05-09 |
| 1356756795 | Idean Amirjazil | Internal Medicine | 1870 Amherst St Ste 100, Winchester, VA 22601-6254 | 2014-06-24 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 01890 |
Please comment or provide details below to improve the information on KENNETH K. TUCKER, M.D..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.