NPIMap

Individual provider Active NPI

James Raymond Buckner, D.O.

  • Family Medicine Physician
  • Marshfield, MO
National Provider Identifier
1407030349
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009032049 Issued in MO
Practice address
1040 W Washington St
Marshfield, MO 65706-2314
Phone
(417) 859-2380
NPI assigned
Dec 27, 2007
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R929 AZ
Family Medicine Physician 207Q00000X 2009032049 MO Primary

Addresses

Primary practice location

1040 W Washington St
Marshfield, MO 65706-2314

Mailing address

1040 W Washington St
Marshfield, MO 65706-2314
Phone (417) 859-2380

Other practice location 1

199 Johnstown Dr
Rogersville, MO 65742-9366
Phone (417) 753-7770

Other identifiers 3

IdentifierTypeStateIssuer
431560263OtherTRICARE WEST
P00773390OtherMORAILROAD MEDICARE
1407030349MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091215000049 MO Practitioner - Family Practice 3577603000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1040 W Washington St
MC Family Medicine Marshfield
Marshfield, MO 65706-2314
Phone (417) 859-2380

1605 Martin Springs Dr
Rolla, MO 65401-2980

199 Johnstown Dr
Rogersville, MO 65742-9366
Phone (417) 753-7770

2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905

363 E Old Route 66
MC Family Medicine Strafford
Strafford, MO 65757-7801
Phone (417) 736-9175

363 E Route 66
MC Family Medicine Strafford
Strafford, MO 65757-7801
Phone (417) 736-9175

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009032049MOMDFamily Medicine Physician
R929AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Nov 2, 2009 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Oct 1, 2010 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Nov 2, 2009 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1040 W Washington St
Marshfield, MO 65706
Phone (417) 859-2380

199 Johnstown Dr
Rogersville, MO 65742
Phone (417) 753-7770

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: jbuckner112047@directb.mercy.net
  • Direct secure messaging: jbuckner122076@directc.mercy.net

Organizations & group practices 4

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1407030349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W WASHINGTON ST",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062314",
            "telephone_number": "417-859-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W WASHINGTON ST",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062314",
            "telephone_number": "417-859-2380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Johnstown Dr",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "MO",
            "postal_code": "657429366",
            "country_code": "US",
            "telephone_number": "417-753-7770",
            "fax_number": "417-753-7298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "JAMES",
        "middle_name": "RAYMOND",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "R929",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2009032049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00773390",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407030349",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MO

Sources for this page

Verify at the official NPI Registry.