Active NPI
Christopher J Buchanan, MD
- Internal Medicine Physician
- Canon City, CO
National Provider Identifier
1245227040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 39766
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04333357 | Medicaid | CO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39766 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Assisted Living Facility
- Florence, CO
- NPI 1760263784
-
- Alzheimer Center (Dementia Center)
- Florence, CO
- NPI 1760781538
-
- Assisted Living Facility
- Canon City, CO
- NPI 1073754693
-
- Assisted Living Facility
- Canon City, CO
- NPI 1679798300
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.