Active NPI
Terry E Buckwalter Jr.
- Anesthesiology Physician
- New Wilmington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS009488L
- Practice address
- 15 Briarwood LN
New Wilmington, PA 16142-1937 - Phone
- (724) 946-8251
- NPI assigned
- Jul 20, 2006
- Last updated
- Jan 28, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS009488L | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia, Pennsylvania , LLC | Anesthesiology | Current | 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.
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PA
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- NPI 1053359547
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- NPI 1386639847
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.