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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 providers in Wheaton, MD
- Elie Bibim
- Blair Temporaries and Staffing Dba Advance Home Healthcare
- Radhika Bommakanti
- Chris William Brandolini
- Gabrielle Sara Brown
- Thomas Thuc Minh Bui
- Linda M Burrell
- Leah Bush
- Morgan Byrd
- C Arefi B Nasehi & Associates PC
All providers in Wheaton, MD · Pediatrics Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.