Individual provider Active NPI

Elizabeth Jane Buskirk, MD

  • Pediatrics Physician
  • Wilmington, NC
National Provider Identifier
1386791242
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2012-01016 Issued in NC
Practice address
5211 S College Rd
Wilmington, NC 28412-2209
Phone
(910) 341-3000
Fax
(910) 251-2067
NPI assigned
Jan 4, 2007
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2012-01016 NC Primary
Pediatrics Physician 208000000X MD0000044716 TN

Addresses

Primary practice location

5211 S College Rd
Wilmington, NC 28412-2209

Mailing address

1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3000

Other names 1

  • Elizabeth Buskirk Marella Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120627000843 NC Practitioner - Pediatric Medicine 5193878395 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000044716TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wha Medical Clinic PLLC Current Accepting new patients
Wilmington ASC LLC CurrentSince Jul 1, 2012 Accepting new patients
Lower Cape Fear Hospice Incorporated CurrentSince Mar 10, 2026 Accepting new patients
Lower Cape Fear Hospice, Incorporated CurrentSince Mar 10, 2026 Accepting new patients
Wilmington Health PLLC CurrentSince Jul 1, 2012 Accepting new patients
Wilmington Health PLLC Current Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Past Accepting new patients

Locations

1300 Bridge Barrier Rd
Ste 2
Carolina Beach, NC 28428
Phone (910) 458-4101

1333 S Dickinson Dr
Leland, NC 28451
Phone (910) 332-0241

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

1414 Physicians Dr
Wilmington, NC 28401
Phone (910) 796-7900

2421 Silver Stream Ln
Wilmington, NC 28401
Phone (910) 763-2072

5211 College Rd S
Wilmington, NC 28412
Phone (910) 772-6290

8108 Market St
#B
Wilmington, NC 28411
Phone (910) 686-2099

Interoperability endpoints

  • Direct secure messaging: elizabeth.marella.p1@direct.wilmingtonhealth.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1386791242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307",
            "telephone_number": "910-341-3000",
            "fax_number": "910-251-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 S COLLEGE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122209",
            "telephone_number": "910-341-3000",
            "fax_number": "910-251-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSKIRK",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2012-01016",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD0000044716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MARELLA",
            "middle_name": "BUSKIRK",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.