Organization Active NPI

Robert C. Buza M.D., P.C.

  • Neurological Surgery Physician
  • Salem, OR
National Provider Identifier
1225114762
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD08457 Issued in OR
Legal business name
ROBERT C. BUZA M.D., P.C.
Practice address
875 Oak St SE
Suite 5085
Salem, OR 97301-3975
Phone
(503) 561-7240
Fax
(503) 561-7245
NPI assigned
Oct 27, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Robert C Buza, M.D.
Title
Physician
Phone
(503) 561-7240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD08457 OR Primary

Addresses

Primary practice location

875 Oak St SE
Suite 5085
Salem, OR 97301-3975

Mailing address

875 Oak St SE
Suite 5085
Salem, OR 97301-3975
Phone (503) 561-7240

Other identifiers 1

IdentifierTypeStateIssuer
029934MedicaidOR

National Provider Directory

National Provider Directory

Locations

875 Oak St SE
Ste 5085
Salem, OR 97301
Phone (503) 561-7240

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1225114762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE",
            "address_2": "SUITE 5085",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013975",
            "telephone_number": "503-561-7240",
            "fax_number": "503-561-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 OAK ST SE",
            "address_2": "SUITE 5085",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013975",
            "telephone_number": "503-561-7240",
            "fax_number": "503-561-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. BUZA M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "BUZA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-561-7240",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD08457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029934",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.