NPIMap

Organization Active NPI

Leonard J Buck MD Inc

  • Orthopaedic Surgery Physician
  • Oregon, OH
National Provider Identifier
1184754558
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35044078B Issued in OH
Legal business name
LEONARD J BUCK MD INC
Practice address
1050 Isaac Streets Drive
Suite 116
Oregon, OH 43616-3291
Phone
(419) 698-2512
Fax
(419) 698-2004
NPI assigned
Mar 6, 2007
Last updated
Oct 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Leonard J Buck, MDNPI 1184626525
Title
President
Phone
(419) 698-2512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35044078B OH Primary

Addresses

Primary practice location

1050 Isaac Streets Drive
Suite 116
Oregon, OH 43616-3291

Mailing address

1050 Isaac Streets Drive
Suite 116
Oregon, OH 43616-3291
Phone (419) 698-2512

Other identifiers 2

IdentifierTypeStateIssuer
2975697MedicaidOH
DG5191OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1050 Isaac Streets Dr
Ste 116
Oregon, OH 43616
Phone (419) 698-2512

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1184754558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DRIVE",
            "address_2": "SUITE 116",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163291",
            "telephone_number": "419-698-2512",
            "fax_number": "419-698-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DRIVE",
            "address_2": "SUITE 116",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163291",
            "telephone_number": "419-698-2512",
            "fax_number": "419-698-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD J BUCK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-698-2512",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35044078B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2975697",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5191",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.