SUSAN MARY TUCKER (NPI# 1578664462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578664462 |
| Entity Type | Individual |
| Full Name | SUSAN MARY TUCKER |
| Credential | M.D. |
| Practice Address |
1 Essex Center Dr Lahey Clinic Peabody MA 01960-2901 |
| Mailing Address |
1 Essex Center Drive Lahey Clinic Peabody MA 01960-2901 |
| Practice Telephone | 9785384400 |
| Practice Fax Number | 9785384724 |
| Mailing Telephone | 9785384400 |
| Mailing Fax Number | 9785384724 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 156646 | MA | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
156646 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110059835A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912266768 | Susan Elizabeth Tucker | Pediatrics | 2001 N Gary Ave Ste 240, Wheaton, IL 60187 | 2012-05-15 |
| 1497058044 | Susan Tucker | Doula | 17 Springhill Dr, Cazadero, CA 95421-9618 | 2010-12-20 |
| 1639479876 | Susan J Tucker | Physical Therapist | 8335 Valley View Dr, Overland Park, KS 66212-1915 | 2010-10-21 |
| 1013942796 | Susan Rona Tucker | Psychiatry & Neurology | 367 Route 120 Unit B8, Lebanon, NH 03766-1430 | 2006-07-11 |
| 1407831183 | Susan Corley Tucker | Counselor | 2330 Timber Shadows Dr, Suite 202, Humble, TX 77339-2041 | 2005-12-14 |
| 1992290738 | Susan Tucker | Speech-Language Pathologist | 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 | 2018-06-25 |
| 1982961751 | Susan Rebecca Tucker | Internal Medicine | 65 Community Rd, Suite C, Tallmadge, OH 44278-2358 | 2012-04-18 |
| 1558394429 | Susan M Tucker | Occupational Therapist | 4444 Forest Park Ave, Saint Louis, MO 63108-2212 | 2006-07-07 |
| 1063492049 | Susan S Tucker | Nurse Anesthetist, Certified Registered | 800 Montclair Rd, Birmingham, AL 35213 | 2006-01-18 |
| Street Address |
1 ESSEX CENTER DR LAHEY CLINIC |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881688224 | Peter K. Zucker | Obstetrics & Gynecology | 1 Essex Center Dr, Lahey Clinic Inc, Peabody, MA 01960-2901 | 2005-08-31 |
| 1851918304 | Julia Navon | Dietitian, Registered | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2020-07-01 |
| 1447805700 | Michael Stillman Mayo | Social Worker | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2019-08-05 |
| 1093226870 | Andrew Shaheen | Physician Assistant | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2017-10-19 |
| 1740644012 | Noreen Shaikh | Ophthalmology | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2016-04-12 |
| 1407259922 | Samantha Stickevers | Genetic Counselor, MS | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2014-09-29 |
| 1235530312 | Orthocare Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1 Essex Center Dr, Suite N2503, Peabody, MA 01960-2901 | 2014-09-09 |
| 1477961589 | Kathleen Smith | Nurse Practitioner | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2014-08-01 |
| 1558674424 | Meghan A Malloy | Audiologist | 1 Essex Center Dr, Lahey Northshore, Peabody, MA 01960-2901 | 2010-07-21 |
| 1093028367 | Evelyn S Delegas | Audiologist | 1 Essex Center Dr, Lahey Northshore, Peabody, MA 01960-2901 | 2010-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073580197 | Steven Jared Covici | Ophthalmology | 3640 Main St Ste 203, Springfield, MA 01107-1139 | 2006-03-07 |
| 1093708778 | Ioannis P Glavas | Ophthalmology | 9 Newbury St, 6th Floor, Boston, MA 02116-3130 | 2005-08-26 |
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| 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.