Conor P Buckley MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4115 Issued in NV

Legal business name

CONOR P BUCKLEY MD

Practice address

75 Pringle Way Ste 505
Reno, NV 89502-1469

Phone

(775) 786-7216

Fax

(775) 786-9365

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By 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

Dr. Conor P Buckley, MDNPI 1841218641

Title

Physician/Owner

Phone

(775) 786-7216

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Conor P Buckley, MD

  • Family Medicine Physician
  • Reno, NV
  • NPI 1841218641
  NPD Authorized official

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1417138611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 505",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021469",
            "telephone_number": "775-786-7216",
            "fax_number": "775-786-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 505",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021469",
            "telephone_number": "775-786-7216",
            "fax_number": "775-786-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONOR P BUCKLEY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "CONOR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "775-786-7216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "4115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016502",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Connolly
• Kristina Connolly
• Staci Anne Connolly, CGC
• Jade Connor
• Melissa R Connors, BSW
• Kaycee R Conrad
• Paula Conrad
• Forrest Craig Conrath, M.D.
• Clinton Douglas Conroy, QBA / PSR
• Berg Constantine

• Family Medicine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.