Active NPI
Peter S Buch, MD
- Gastroenterology Physician
- Manchester, CT
National Provider Identifier
1124098199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 022837
- Practice address
- 353 Main St
Manchester, CT 06040-4145 - Phone
- (860) 649-3477
- Fax
- (860) 649-0011
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 022837 | CT | Primary |
Addresses
Primary practice location
353 Main St
Manchester, CT 06040-4145
Mailing address
353 Main St
Manchester, CT 06040
Phone (860) 649-3477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001228378 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022837 | CT | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1124098199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06040",
"telephone_number": "860-649-3477",
"fax_number": "860-649-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404145",
"telephone_number": "860-649-3477",
"fax_number": "860-649-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCH",
"first_name": "PETER",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "022837",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001228378",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.