Travis Daniel Buckner, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

6373 Issued in OK

Practice address

4200 S Douglas Ave Ste 306
Oklahoma City, OK 73109-3215

Phone

(405) 636-7195

NPI assigned

Jun 19, 2017

Sex

Male

Sole proprietor

No

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.

• Chickasaw Nation Division of Health

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1255364923

  TX

  Medicare reassignment Care Compare group NPD
• Exceptional Physicians Group Ardmore Hospital PLLC

  • Emergency Medicine Physician
  • Ardmore, OK
  • NPI 1588427462

  Emergency Medicine, OK

  Medicare reassignment Care Compare group NPD
• Ies Oklahoma LLC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1437916525

  Emergency Medicine, OK

  Medicare reassignment Care Compare group NPD
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550

  OK

  Medicare reassignment Care Compare group NPD
• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297

  Emergency Medicine, OK

  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891

  Emergency Medicine, OK

  Medicare reassignment NPD
• Mercy Hospital Kingfisher, Inc

  • Diagnostic Radiology Physician
  • Kingfisher, OK
  • NPI 1285064618

  OK

  Medicare reassignment NPD
• Mercy Hospital Logan County Inc

  • Critical Access Hospital
  • Guthrie, OK
  • NPI 1306126818

  OK

  Medicare reassignment NPD
• Mercy Hospital Tishomingo, Inc

  • Emergency Medicine Physician
  • Tishomingo, OK
  • NPI 1972809002

  Emergency Medicine, OK

  Medicare reassignment NPD
• Nes Oklahoma, Inc.

  • Emergency Medicine Physician
  • Ponca City, OK
  • NPI 1528040722

  Emergency Medicine, OK

  Medicare reassignment NPD
• Chickasaw Nation Division of Health

  • Home Health Agency
  • Ada, OK
  • NPI 1811739071
  Care Compare group NPD
• Premier Physician Staffing 2 PLLC

  • Emergency Medicine Physician
  • McAlester, OK
  • NPI 1326509407

  OK

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chickasaw Nation Division of Health

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1255364923

  Hospital

  Care Compare affiliation
• Chickasaw Nation Division of Health

  • Primary Care Clinic/Center
  • Tishomingo, OK
  • NPI 1649330242

  Hospital

  Care Compare affiliation
• Chickasaw Nation Division of Health

  • Primary Care Clinic/Center
  • Ardmore, OK
  • NPI 1730249186

  Hospital

  Care Compare affiliation
• Chickasaw Nation Division of Health

  • Primary Care Clinic/Center
  • Purcell, OK
  • NPI 1982764395

  Hospital

  Care Compare affiliation
• Chickasaw Nation Division of Health Chickasaw Nation Medical Center

  • Primary Care Clinic/Center
  • Ada, OK
  • NPI 1962563148

  Hospital

  Care Compare affiliation
• Mercy Hospital Ada, Inc

  • Ambulance
  • Ada, OK
  • NPI 1831533728

  Hospital

  Care Compare affiliation
• Mercy Hospital Ada, Inc

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1952643306

  Hospital

  Care Compare affiliation
• Mercy Hospital Ardmore, Inc.

  • General Acute Care Hospital
  • Ardmore, OK
  • NPI 1386741635

  Hospital

  Care Compare affiliation

Specialty

Emergency Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Exceptional Physicians Group Ardmore Hospital PLLC 22 clinicians

Chickasaw Nation Division of Health Chickasaw Nation Medical Center 243 clinicians

Mercy Clinic Oklahoma Communities 645 clinicians

Ies Oklahoma LLC 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chickasaw Nation Medical Center Hospital, Ada, OK, CCN 370180
• Mercy Hospital Ada Hospital, Ada, OK, CCN 370020
• Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbuckner47172@direct.chickasawnationhealth.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2018.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1306376603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE STE 306",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093215",
            "telephone_number": "405-636-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S DOUGLAS AVE STE 306",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093215",
            "telephone_number": "405-636-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "TRAVIS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "6373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ladonna Buckley
• Dustan Pierce Buckley, MD
• Julie Ann Buckley, LPN
• Jada Deanise Buckner
• Shantell K Buckner
• Anisha Budhiraj, DDS
• Evette Budrich, M.D.
• Erica Buel, CRNA
• Brenda Ann Buell, B.A.
• Donald Gene Buell, CPRSS

• All providers in Oklahoma City, OK
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.