Organization Active NPI

DRS. Richard & Phyllis Buckwalter

  • Family Medicine Physician
  • Horsham, PA
National Provider Identifier
1386813871
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD25525L Issued in PA
Legal business name
DRS. RICHARD & PHYLLIS BUCKWALTER
Practice address
Welsh Road at Inverness Drive
Horsham, PA 19044-1801
Phone
(215) 659-1113
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Mrs. Tammie Buckwalter
Title
Billing Clerk
Phone
(215) 659-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD25525L PA Primary

Addresses

Primary practice location

Welsh Road at Inverness Drive
Horsham, PA 19044-1801

Mailing address

Welsh Road at Inverness Drive
Horsham, PA 19044-1801

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1386813871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WELSH ROAD AT INVERNESS DRIVE",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WELSH ROAD AT INVERNESS DRIVE",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190441801",
            "telephone_number": "215-659-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. RICHARD & PHYLLIS BUCKWALTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "BUCKWALTER",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "215-659-1113",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD25525L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horsham, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.