NPIMap

Organization Active NPI

John L. Buker, M.D., PSC

Doing business as Bluegrass Dermatology and Skin Surgery Center

  • Dermatology Physician
  • Lexington, KY
National Provider Identifier
1114197803
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JOHN L. BUKER, M.D., PSC
Doing business as
Bluegrass Dermatology and Skin Surgery Center
Practice address
3475 Richmond Rd
Suite 200
Lexington, KY 40509-2500
Phone
(859) 296-4400
Fax
(859) 296-4300
NPI assigned
Mar 10, 2008
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. John Landon Buker, M.D.NPI 1457355174
Title
Medical Supervisor
Phone
(859) 296-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3475 Richmond Rd
Suite 200
Lexington, KY 40509-2500

Mailing address

3475 Richmond Rd
Suite 200
Lexington, KY 40509-2500
Phone (859) 296-4400

Other names 1

  • Bluegrass Dermatology and Skin Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040226000997 KY Part B Supplier - Clinic/Group Practice 7113813932 Receives reassigned benefits from 10 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

880 Corporate Dr
Lexington, KY 40503
Phone (859) 296-4400

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1114197803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 RICHMOND RD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092500",
            "telephone_number": "859-296-4400",
            "fax_number": "859-296-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 RICHMOND RD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092500",
            "telephone_number": "859-296-4400",
            "fax_number": "859-296-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. BUKER, M.D., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BUKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LANDON",
        "authorized_official_title_or_position": "MEDICAL SUPERVISOR",
        "authorized_official_telephone_number": "859-296-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Dermatology and Skin Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.