Active NPI
James Samuel Buck, M.D.
- Obstetrics & Gynecology Physician
- Leitchfield, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 26600
- Practice address
- 910 Wallace Ave
Leitchfield, KY 42754 - Phone
- (270) 259-2700
- Fax
- (270) 259-2717
- NPI assigned
- Jun 14, 2005
- Last updated
- Aug 2, 2018
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 26600 | KY | Primary |
Addresses
Primary practice location
910 Wallace Ave
Leitchfield, KY 42754
Mailing address
908 Wallace Ave
Leitchfield, KY 42754-1479
Phone (270) 259-2700
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700225 | Other | KY | UNITED HEALTHCARE |
| 610673930P | Other | KY | HUMANA |
| 64266000 | Medicaid | KY | |
| 610673930 | Other | KY | EMPLOYER ID |
| 160030393 | Other | KY | RAILROAD |
| 1048741 | Other | KY | PASSPORT |
| 16638 | Other | KY | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Louisville School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
910 Wallace Ave
Suite 302
Leitchfield, KY 42754-2418
Phone (270) 259-2700
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26600 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Owensboro Health Twin Lakes Regional Medical Center, Inc | Past | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Past | Accepting new patients |
Locations
910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035
910 Wallace Ave
Ste 302
Leitchfield, KY 42754
Phone (270) 259-2700
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
Interoperability endpoints
- jbuck62574@direct.owensborohealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Medical Group - Palliative Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1871968420
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
-
dba Owensboro Health Twin Lakes Medical Center
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
dba Owensboro Health Twin Lakes Medical Center
- General Acute Care Hospital
- Leitchfield, KY
- NPI 1285221416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1164427555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 WALLACE AVE",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "427541479",
"telephone_number": "270-259-2700",
"fax_number": "270-259-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 WALLACE AVE",
"city": "LEITCHFIELD",
"state": "KY",
"postal_code": "42754",
"telephone_number": "270-259-2700",
"fax_number": "270-259-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "JAMES",
"middle_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "26600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0700225",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "610673930P",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64266000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER ID",
"identifier": "610673930",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "160030393",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1048741",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "16638",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leitchfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.