Individual provider Active NPI

Ann L Bucholtz, MD

  • Forensic Pathology Physician
  • Merced, CA
National Provider Identifier
1386890994
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
21284 Issued in AZ
Practice address
455 E 13TH St
Merced, CA 95341-6213
Phone
(602) 740-5426
NPI assigned
Aug 14, 2008
Last updated
Mar 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Pathology Physician 207ZF0201X 21284 AZ Primary
Forensic Pathology Physician 207ZF0201X 01033773A IN
Forensic Pathology Physician 207ZF0201X G69294 CA
Forensic Pathology Physician 207ZF0201X 26337 TN

Addresses

Primary practice location

455 E 13TH St
Merced, CA 95341-6213

Mailing address

6643 E Sweetwater Ave
Scottsdale, AZ 85254-4584
Phone (602) 740-5426

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21284AZMDForensic Pathology Physician
G69294CAMDForensic Pathology Physician
01033773AINMDForensic Pathology Physician
26337TNMDForensic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1386890994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6643 E SWEETWATER AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544584",
            "telephone_number": "602-740-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E 13TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416213",
            "telephone_number": "602-740-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHOLTZ",
        "first_name": "ANN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "AZ",
            "license": "21284",
            "primary": true
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "IN",
            "license": "01033773A",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "G69294",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "TN",
            "license": "26337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.