Ronald M Buoscio

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP1240 Issued in AZ

Practice address

19900 80TH Ave
Tinley Park, IL 60487-3631

Phone

(815) 464-2285

NPI assigned

Nov 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Advanced Therapy Solutions, LLC

  • Hearing and Speech Clinic/Center
  • Mesa, AZ
  • NPI 1972659399
  NPD (past)
• East Valley Speech Pathology Assoc LLC

  • Hearing and Speech Clinic/Center
  • Mesa, AZ
  • NPI 1205944030
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1104992338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 S SPRUCE DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237099",
            "telephone_number": "815-464-2285",
            "fax_number": "480-820-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 80TH AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604873631",
            "telephone_number": "815-464-2285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 S Country Club #104",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "85210",
            "country_code": "US",
            "telephone_number": "480-820-6366",
            "fax_number": "480-820-0462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUOSCIO",
        "first_name": "RONALD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146002355",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP1240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104992338",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tekekee Desha Buckner, FNP
• Jacqueline Budwitis
• Amy Buehl, LCSW
• Jakeena L Buie
• Paul Joseph Bulow Jr., D.O.
• Meghan Burcl, LCSW, CADC
• Karmiah Latrice Burkes
• Maria Burkhead
• Tiffany P Burnham
• Jordan Burns, BCBA

• Speech-Language Pathologist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2017; 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.