Organization Active NPI

Peter M Buffa Sr PA

  • Family Medicine Physician
  • Mexia, TX
National Provider Identifier
1427378926
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4315 Issued in TX
Legal business name
PETER M BUFFA SR PA
Practice address
600 S Bonham St
Mexia, TX 76667-3603
Phone
(254) 739-5744
Fax
(254) 739-5751
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Dr. Peter Michael Buffa Sr., M.D.
Title
Owner
Phone
(254) 739-5744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X N4315 TX Primary

Addresses

Primary practice location

600 S Bonham St
Mexia, TX 76667-3603

Mailing address

PO Box 1516
Mexia, TX 76667-1516
Phone (254) 739-5744

Other identifiers 1

IdentifierTypeStateIssuer
209668701MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1427378926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1516",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766671516",
            "telephone_number": "254-739-5744",
            "fax_number": "254-739-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S BONHAM ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766673603",
            "telephone_number": "254-739-5744",
            "fax_number": "254-739-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M BUFFA SR PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "BUFFA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-739-5744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209668701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.