Active NPI
Julissa Buchmann, MD
- Pediatric Gastroenterology Physician
- Little Rock, AR
National Provider Identifier
1164512729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- E-3367
- Practice address
- 1 Childrens Way
Slot 512-7
Little Rock, AR 72202-3500 - Phone
- (501) 364-1100
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | E-3367 | AR | Primary |
Addresses
Primary practice location
1 Childrens Way
Slot 512-7
Little Rock, AR 72202-3500
Mailing address
1 Children'S Way
Slot 512-7
Little Rock, AR 72202-3510
Phone (501) 364-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149501001 | Medicaid | AR |
Other names 1
- Dr. Julissa Corredor-Buchmann
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 |
|---|---|---|---|
| E-3367 | AR | MD | Pediatric Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1164512729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDREN'S WAY",
"address_2": "SLOT 512-7",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023510",
"telephone_number": "501-364-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY",
"address_2": "SLOT 512-7",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHMANN",
"first_name": "JULISSA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "AR",
"license": "E-3367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149501001",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULISSA",
"last_name": "CORREDOR-BUCHMANN",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.