Individual provider Active NPI

Terry E Buckwalter Jr.

  • Anesthesiology Physician
  • New Wilmington, PA
National Provider Identifier
1295755387
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS009488L Issued in PA
Practice address
15 Briarwood LN
New Wilmington, PA 16142-1937
Phone
(724) 946-8251
NPI assigned
Jul 20, 2006
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS009488L PA Primary

Addresses

Primary practice location

15 Briarwood LN
New Wilmington, PA 16142-1937

Mailing address

15 Briarwood Lane
New Wilmington, PA 16142
Phone (724) 946-8251

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040726000734 PA Practitioner - Anesthesiology 2062313869 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS009488LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Jan 1, 2019 Accepting new patients
Anesthesia Consultants of Erie, Inc. Anesthesiology Past Accepting new patients
Waterfront Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Past Accepting new patients
Pain Center of Western Pennsylvania, Inc Past Accepting new patients
Regional Anesthesia Associates Past Accepting new patients

Locations

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

5473 Village Common Dr
Ste 100
Erie, PA 16506
Phone (814) 836-0770

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1295755387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRIARWOOD LANE",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "16142",
            "telephone_number": "724-946-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRIARWOOD LN",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421937",
            "telephone_number": "724-946-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKWALTER",
        "first_name": "TERRY",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS009488L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Wilmington, PA

Sources for this page

Verify at the official NPI Registry.