Provider Demographics
NPI:1063459287
Name:TATE, JAMES E (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:TATE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 LONGWATER DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-9147
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-871-2940
Practice Address - Street 1:143 LONGWATER DRIVE
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-9147
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213260207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
213260OtherTUFTS & TMP
AA277181OtherHARVARD PILGRIM
1063459287OtherNEIGHBORHOOD HEALTH PLAN
MAJ25771OtherBLUE CROSS BLUE SHIELD
042297845OtherHEALTH CARE VALUE MANAGEMENT
7268434OtherAETNA
042297845OtherGIC/UNICARE
1063459287OtherFALLON
MA2000831Medicaid
042297845OtherTRICARE
042297845OtherUNITED HEALTH CARE
5821678OtherCIGNA
97357605OtherNETWORK HEATLH
AA277181OtherHARVARD PILGRIM
97357605OtherNETWORK HEATLH