Active NPI
Peter Goodrich Buck, M.D.
- Orthopaedic Surgery Physician
- Ames, IA
National Provider Identifier
1366439796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 21541
- Practice address
- 1215 Duff Ave
Ames, IA 50010-5400 - Phone
- (515) 239-4475
- Fax
- (515) 239-4722
- NPI assigned
- Sep 30, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 21541 | IA | Primary |
Addresses
Primary practice location
1215 Duff Ave
Ames, IA 50010-5400
Mailing address
1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4475
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21541 | IA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1366439796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105400",
"telephone_number": "515-239-4475",
"fax_number": "515-239-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105400",
"telephone_number": "515-239-4475",
"fax_number": "515-239-4722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "PETER",
"middle_name": "GOODRICH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "21541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.