Walter S Buck III, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Perkasie, PA
NPI 1407968407 · NPPES record last updated Apr 11, 2008
Key facts
- NPI
- 1407968407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- SC001455L (PA)
- Practice address
- 1401 North 5TH Street
Perkasie, PA 18944 - Phone
- (215) 257-6315
- Fax
- (215) 453-9030
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Foot and Ankle Associates LLC | Podiatrist | Past |
Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/13327/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001455L | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC001455L | PA | Yes |
Addresses
Primary practice location
1401 North 5TH Street
Perkasie, PA 18944
Mailing address
1401 North 5TH Street
Perkasie, PA 18944
Phone (215) 257-6315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3218 | Other | PA | AETNA |
| 119879 | Other | PA | HI MARK BLUE SHIELD |
| 0023124000 | Other | PA | BLUE SHILELD |
| 05007970401 | Medicaid | PA |
Other providers in Perkasie, PA
- Alyssa Katharine Bland
- Amanda Boshell
- Gabrielle Brannan
- Sherry A Brey Rush
- Linda D Brophy
- Cynthia Anne Burr
- Burton E. Weinberg
- Barbara Franceska Bussart
- Bux-Mont Allergy & Asthma LLC
- Alicia M Byelich
All providers in Perkasie, PA · Foot & Ankle Surgery Podiatrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.