Charles Kevin Budusky, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS008066L Issued in PA

Practice address

1861 Charter LN
Suite 118
Lancaster, PA 17601-6736

Phone

(717) 290-6900

Fax

(717) 290-1104

NPI assigned

Sep 21, 2006

Last updated

Apr 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1245339829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 CHARTER LN",
            "address_2": "SUITE 118",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016736",
            "telephone_number": "717-290-6900",
            "fax_number": "717-290-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 CHARTER LN",
            "address_2": "SUITE 118",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016736",
            "telephone_number": "717-290-6900",
            "fax_number": "717-290-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDUSKY",
        "first_name": "CHARLES",
        "middle_name": "KEVIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008066L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth J Buckwalter, COTA/L
• Eric Buckwalter, PA-C
• Patience Buckwalter, LSW
• Samuel Buckwalter, PA-C
• Shawna Buckwalter, COTA
• Kim Buehler, AUD
• Troy Buffenmyer
• Hanh My Bui, D.M.D
• Thanh Dung Sandy Bui, NCC, LPC
• Truong Khac Bui, PHARMD

• Family Medicine Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.

Verify at the official NPI Registry.