Gary Wayne Buck, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0004355 Issued in CO

Practice address

691 E Empire St
Cortez, CO 81321-2802

Phone

(970) 565-7946

Fax

(970) 565-9005

NPI assigned

Nov 6, 2006

Last updated

Mar 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Native Village of Eyak

  dba Ilanka Community Health Center

  • Clinic/Center
  • Cordova, AK
  • NPI 1134471287
  NPD (past)
• Page Hospital

  • Critical Access Hospital
  • Page, AZ
  • NPI 1578515789
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1356410310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27351 ROAD P.7",
            "city": "DOLORES",
            "state": "CO",
            "postal_code": "813239411",
            "telephone_number": "970-570-9634",
            "fax_number": "970-565-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E EMPIRE ST",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212802",
            "telephone_number": "970-565-7946",
            "fax_number": "970-565-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "0004355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Bradley, LPC, LAC
• Justin Brehms, DC
• Teresa S. Brown-Sanchez, F.N.P.
• Ray L Brown, LCSW
• Jade Bryant, PHARMD
• Leanne Irene Buck, PA C
• David Buckwalter, D.O.
• Morgan Bugosh, PT, DPT
• Kelly A. C. Busby, DO
• C&G Health Care Management Inc

• Medical Physician Assistant in Cortez, CO
• Providers in Cortez, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.