Individual provider Active NPI

Christopher J Buchanan, MD

  • Internal Medicine Physician
  • Canon City, CO
National Provider Identifier
1245227040
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39766 Issued in CO
Practice address
33 Savage Loop
Canon City, CO 81212-4147
Phone
(719) 275-4543
Fax
(719) 275-4543
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39766 CO Primary

Addresses

Primary practice location

33 Savage Loop
Canon City, CO 81212-4147

Mailing address

P.O. Box 1353
Canon City, CO 81212-1614
Phone (719) 275-4543

Other identifiers 1

IdentifierTypeStateIssuer
04333357MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000966 CO Practitioner - Internal Medicine 9234260217 Practice locations: Canon City, CO; Florence, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39766COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ioof Grand Lodge of Colorado Past Accepting new patients
Forgetmenot Care Home, Inc. Past Accepting new patients
Legacy Center LLC Past Accepting new patients
Care Haven Assisted Living, Inc PastSince Oct 8, 2023 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1245227040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1353",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812121614",
            "telephone_number": "719-275-4543",
            "fax_number": "719-275-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SAVAGE LOOP",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124147",
            "telephone_number": "719-275-4543",
            "fax_number": "719-275-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "39766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04333357",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canon City, CO

Sources for this page

Verify at the official NPI Registry.