Steven M. Buckles D.O. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

105609 Issued in MO

Legal business name

STEVEN M. BUCKLES D.O. P.C.

Practice address

3949 Sherman Ave
Saint Joseph, MO 64506-3649

Phone

(816) 279-4882

Fax

(816) 279-4008

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Mark Buckles, D.O.

Title

Owner

Phone

(816) 279-4882

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Agape Family Medicine Clinic Doing business as

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1285755447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 SHERMAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063649",
            "telephone_number": "816-279-4882",
            "fax_number": "816-279-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 SHERMAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063649",
            "telephone_number": "816-279-4882",
            "fax_number": "816-279-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M. BUCKLES D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "BUCKLES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-279-4882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "105609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21061107",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "1001146903",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2324148",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT BOARD",
            "identifier": "DD7089",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keegan Steeby
• Kaitlin Elizabeth Steever, DDS
• Jalin Stelzer, STUDENT
• Tyler D. Sten, DPM
• Brooke Ashley Stetzler
• Steven M. Orr, M.D., L.L.C.
• Edward M Stevens, MD
• Judith Ann Stevens, WHNP
• Stevenson Family Pharmacy, Inc.
• Amanda M Stewart, PLPC

• Family Medicine Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.