Active NPI
Buck Wayne McNeil, M.D.
- Anesthesiology Physician
- Lubbock, TX
National Provider Identifier
1316936248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- E8712
- Practice address
- 3302 53Rd St
Lubbock, TX 79413-4204 - Phone
- (806) 791-5150
- NPI assigned
- Oct 13, 2005
- 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 | E8712 | TX | Primary |
Addresses
Primary practice location
3302 53Rd St
Lubbock, TX 79413-4204
Mailing address
3302 53Rd St
Lubbock, TX 79413-4204
Phone (806) 791-5150
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000U0063 | Other | NM | NM MEDICAID |
| 110084402 | Medicaid | TX | |
| MDE8712 | Other | TX | WORKERS COMP |
| 110084402 | Other | MO | MO MEDICAID |
| 119196100 | Other | TX | FIRSTCARE |
| 179151800 | Other | TX | WORKER COMP - DOJ |
| 050000074 | Other | TX | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1316936248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 53RD ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794134204",
"telephone_number": "806-791-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 53RD ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794134204",
"telephone_number": "806-791-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEIL",
"first_name": "BUCK",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "E8712",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM MEDICAID",
"identifier": "000U0063",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110084402",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "MDE8712",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO MEDICAID",
"identifier": "110084402",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "119196100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER COMP - DOJ",
"identifier": "179151800",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "050000074",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.