DENNIS A TUCK (NPI# 1992852099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992852099 |
| Entity Type | Individual |
| Full Name | DENNIS A TUCK |
| Credential | DPM |
| Practice Address |
100 Brooksby Village Dr Peabody MA 01960-1438 |
| Mailing Address |
5525 Research Park Drive 4th Floor Baltimore MD 21228-4664 |
| Practice Telephone | 9785367580 |
| Practice Fax Number | 8772809727 |
| Mailing Telephone | (978) 536-7850 |
| Mailing Fax Number | 8772809727 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1640 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110015405A | 05 |
| Street Address |
100 BROOKSBY VILLAGE DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407536 | Randolph S. Powers | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2005-06-20 |
| 1881104032 | Caroline Margaret Sims | Social Worker | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2017-10-02 |
| 1639447006 | Erickson Health Medical Group of Massachusetts, P.c . | Assisted Living Facility | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2011-12-13 |
| 1215229620 | Sarah Robertson | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2011-05-04 |
| 1265688352 | Erickson Health Medical Group of Ma | Durable Medical Equipment & Medical Supplies | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2008-08-08 |
| 1669656187 | Donna M Agave | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2007-12-19 |
| 1326115106 | Main Street Pharmacy, LLC | Pharmacy | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-11-29 |
| 1154337681 | Ajaykumar S Patel | Internal Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-08-01 |
| 1164442919 | Erickson Health Medical Group of Massachusetts PC | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-07-21 |
| 1326077124 | Janis Carmody | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-07-02 |
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| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872286 | Peabody Podiatry LLC | Podiatrist | 6 Essex Center Dr Ste 208, Peabody, MA 01960-2906 | 2019-07-08 |
| 1124133657 | Daniel Edward Brown | Podiatrist | 6 Essex Center Dr, Suite 208 - Peabody Podiatry, Peabody, MA 01960-2904 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770052623 | Edward Joseph Salem | Podiatrist | 18 Hadley Village Rd Apt D, South Hadley, MA 01075-2272 | 2018-11-21 |
| 1497230171 | Coastal Foot & Ankle Inc | Podiatrist | 300 Hanover St Ste 2c, Fall River, MA 02720-5451 | 2018-09-28 |
| 1942794656 | Christopher H. Peteros, Dpm, LLC | Podiatrist | 1200 Converse St Ste 103, Longmeadow, MA 01106-1760 | 2018-06-16 |
| 1003309444 | Plymouth Podiatry PC | Podiatrist | 135 Sandwich St Ste 1, Plymouth, MA 02360-2400 | 2018-06-11 |
| 1972024735 | Richa Piyush Patel | Podiatrist | 100 Crossing Blvd Ste 300, Framingham, MA 01702-5555 | 2017-07-03 |
| 1508391186 | Steven Quan | Podiatrist | 70 Wesson Ave, Quincy, MA 02169-7412 | 2017-04-20 |
| 1598117350 | Melissa Lynn Ricci | Podiatrist | 100 Highland St Ste 122, Milton, MA 02186-3878 | 2016-07-05 |
| 1639528987 | Sturdy Memorial Associates, Inc | Podiatrist | 7 Wilkins Drive, Plainville, MA 02762 | 2016-06-08 |
| 1043669591 | Sara Elizabeth Rose-sauld | Podiatrist | 52 2nd Ave Ste 1150, Waltham, MA 02451-1129 | 2016-06-06 |
| 1558743880 | Alissa Kuizinas | Podiatrist | 54 Baker Avenue Ext Ste 301, Concord, MA 01742-2139 | 2015-06-23 |
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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.