Precision Spine, PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

E6249 Issued in AR

Legal business name

PRECISION SPINE, PLLC

Practice address

3010 Falcon Crest Dr
Alexander, AR 72002-1767

Phone

(615) 389-7852

Fax

(888) 229-0055

NPI assigned

Sep 9, 2015

Last updated

Sep 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derek S Buck, MD

Title

Physician Owner

Phone

(615) 389-7852

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1194193045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 FALCON CREST DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720021767",
            "telephone_number": "615-389-7852",
            "fax_number": "888-229-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 FALCON CREST DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720021767",
            "telephone_number": "615-389-7852",
            "fax_number": "888-229-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "615-389-7852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AR",
            "license": "E6249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Alexander, AR
• Providers in Alexander, AR by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.