Buchanan Physical Medicine, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BUCHANAN PHYSICAL MEDICINE, INC

Doing business as

Buchanan Health Center

Practice address

9836 US Highway 441
Leesburg, FL 34788-7273

Phone

(352) 787-8531

Fax

(352) 787-3041

NPI assigned

Jan 12, 2016

Last updated

Jul 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tige R BuchananNPI 1417989658

Title

Owner

Phone

(352) 787-8531

Specialties & licenses 1

Addresses

Other names 1

• Buchanan Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tige R Buchanan, D.C.

  • Chiropractor
  • Leesburg, FL
  • NPI 1417989658
  Medicare reassignment Care Compare group NPD Authorized official
• Shazia A Sadler, FNP-C

  • Family Nurse Practitioner
  • Sanford, FL
  • NPI 1255180022
  Medicare reassignment Care Compare group NPD
• Peter Sidhom, DC

  • Chiropractor
  • Boca Raton, FL
  • NPI 1225747264
  Medicare reassignment Care Compare group NPD
• Rebecca Mae Traylor, APRN

  • Family Medicine Physician
  • Leesburg, FL
  • NPI 1679365274
  Medicare reassignment Care Compare group NPD
• Jennifer Aldamuy, APRN

  • Gerontology Nurse Practitioner
  • Leesburg, FL
  • NPI 1508441890
  Medicare reassignment NPD
• Dana Carroll, ARNP

  • Family Nurse Practitioner
  • Winter Park, FL
  • NPI 1649636945
  Medicare reassignment NPD
• William J Garofolo Jr., DC

  • Chiropractor
  • Sumterville, FL
  • NPI 1225105463
  Medicare reassignment NPD
• Pamala Scott Howard, APRN

  • Nurse Practitioner
  • Mount Dora, FL
  • NPI 1770164113

  Family Medicine

  Medicare reassignment NPD
• Amberly R Martin, FNP-BC

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1780145086
  Medicare reassignment NPD
• Frank Joseph Paiano, D.O.

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1588616353
  Medicare reassignment NPD
• Katie Leigh Thomas, DC

  • Chiropractor
  • Leesburg, FL
  • NPI 1538621313
  Medicare reassignment NPD

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1407212087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9836 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887273",
            "telephone_number": "352-787-8531",
            "fax_number": "352-787-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9836 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347887273",
            "telephone_number": "352-787-8531",
            "fax_number": "352-787-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHANAN PHYSICAL MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "TIGE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-787-8531"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buchanan Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Mark Brown, M.D.
• Stephanie Brown
• Vickie Brown
• Brad Broyles, MD
• Tatsiana Bryko Giles
• Tige R Buchanan, D.C.
• Reese Buckhalter, PT, DPT
• Nancy Bullock, LCSW
• Angella Sue Bundz, ARNP
• Samuel Bundz, M.D.

• Family Medicine Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.