Individual provider Active NPI

John Gregory Buck, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Irving, TX
National Provider Identifier
1154608552
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
K4003 Issued in TX
Practice address
4770 Regent Blvd
Irving, TX 75063-2445
Phone
(972) 934-4300
NPI assigned
Nov 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X K4003 TX Primary

Addresses

Primary practice location

4770 Regent Blvd
Irving, TX 75063-2445

Mailing address

14275 Midway Rd Ste 400
Addison, TX 75001-3614

Other practice location 1

700 East Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000088 TX Practitioner - Pathology 2466628326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Pathology Program PLLCGroup PAC ID 3476956194, 38 clinicians
NTX Pathology Program, PLLCGroup PAC ID 1850722919, 23 clinicians

Practice addresses (Care Compare)

22999 Hwy 59 N
Kingwood, TX 77339-4412
Phone (281) 348-8279

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-4524

Hospital & facility affiliations

  • Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology Current Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Jan 18, 2021 Accepting new patients
NTX Pathology Program, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Feb 12, 2024 Accepting new patients
DFW 501a Corporation Anatomic Pathology & Clinical Pathology CurrentSince Jan 18, 2021 Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

7777 Forest Ln
Ste C400
Dallas, TX 75230
Phone (972) 566-3900

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

3101 N Tarrant Pkwy
Ft Worth, TX 76177
Phone (817) 349-4663

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1154608552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 REGENT BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632445",
            "telephone_number": "972-934-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 East Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-14",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "K4003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.