Lake Jackson Imaging Center

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

LAKE JACKSON IMAGING CENTER

Practice address

217 Oak Drive South Suite a
Lake Jackson, TX 77566

Phone

(979) 297-2800

NPI assigned

Aug 11, 2006

Last updated

Oct 16, 2008By 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. John E Buck, M.D.NPI 1053383604

Title

Medical Director

Phone

(936) 203-5996

Specialties & licenses 1

Addresses

Locations

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.

• John Eric Buck, M.D.

  • Emergency Medicine Physician
  • Conroe, TX
  • NPI 1053383604
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1417968637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 OAK DR S",
            "address_2": "SUITE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665675",
            "telephone_number": "979-297-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 OAK DRIVE SOUTH SUITE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-297-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE JACKSON IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "936-203-5996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Jackson Dental Care P.a.
• Lake Jackson Dialysis and Kidney Center, LTD, LLP
• Lake Jackson Emergency Medical Services, Inc.
• Lake Jackson Endoscopy Center, LP.
• Lake Jackson Family Dentistry PLLC
• Lake Jackson Operations, LLC (Elmcroft of Lake Jackson)
• Lake Jackson Oral and Maxillofacial Surgery, PLLC
• Lake Jackson Pediatric Speech PLLC
• Lake Jackson Plastic Surgery, PA
• Lake Jackson Rehabilitation and Wellness Center

• Radiology Clinic/Center in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.