Alex J Buividas & Thomas a Buividas PTR

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016002967 Issued in IL

Legal business name

ALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR

Practice address

4554 S Archer Ave
Chicago, IL 60632-2954

Phone

(773) 847-6784

Fax

(773) 847-6883

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Anthony Buividas, D.P.M.

Title

Partner

Phone

(773) 847-6784

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1174666192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322954",
            "telephone_number": "773-847-6784",
            "fax_number": "773-847-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322954",
            "telephone_number": "773-847-6784",
            "fax_number": "773-847-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX J BUIVIDAS & THOMAS A BUIVIDAS PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "BUIVIDAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "773-847-6784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016002967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016002967",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.