Owen Delos Buck, MD

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

MAINE 11724 Issued in ME

Practice address

230 Bartlett St
Lewiston, ME 04240-6578

Phone

(207) 783-4692

Fax

(207) 783-4694

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD (past)
• Tri-County Mental Health Services

  • Mental Health Counselor
  • Lewiston, ME
  • NPI 1215979158
  NPD (past)
• Tri-County Mental Health Services

  • Adult Mental Health Clinic/Center
  • Lewiston, ME
  • NPI 1689921629
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093871956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BARTLETT ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406578",
            "telephone_number": "207-783-4692",
            "fax_number": "207-783-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BARTLETT ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406578",
            "telephone_number": "207-783-4692",
            "fax_number": "207-783-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "OWEN",
        "middle_name": "DELOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "ME",
            "license": "MAINE 11724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara C. West Browning, P.T.
• Bruce Webber LCSW LLC
• Allison Bruno, MS, RD, LD, CNSC
• Melissa Bubier, BCBA
• Buck & O'Rourke, P.a.
• Jacob Nicholas Budke, PA-C
• Debra K Buege, CRNA
• Stephen Bennett Buergin, PA-C
• Building Blocks Occupational Therapy Services, Inc.
• Natalie Bullock, OTR/L

• Clinical Genetics (M.D.) Physician in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Clinical Genetics (M.D.) Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.