Jennifer Sue Buchanan, M.D.

Individual provider Active NPI Pediatrics Physician · Wheaton, MD

NPI 1275733396 · NPPES record last updated Aug 29, 2022

Key facts

NPI
1275733396
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD457529 (PA)
Practice address
2401 Blueridge Ave
#210
Wheaton, MD 20902-4517
Phone
(301) 933-6440
Fax
(301) 933-5923
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G4875 TX
Pediatrics Physician 208000000X MD457529 PA Yes

Addresses

Primary practice location

2401 Blueridge Ave
#210
Wheaton, MD 20902-4517

Mailing address

2401 Blueridge Ave
#210
Wheaton, MD 20902-4517
Phone (301) 933-6440

Other names

  • Mrs. Jennifer Buchanan Diaz-Arrastia Other name

Other providers in Wheaton, MD

All providers in Wheaton, MD · Pediatrics Physician in Maryland

Sources for this page

Verify at the official NPI Registry.