Buckner Family Medical Association, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BUCKNER FAMILY MEDICAL ASSOCIATION, PA

Practice address

4801 S Buckner Blvd
Suite 200
Dallas, TX 75227-2304

Phone

(214) 381-7700

Fax

(214) 381-7702

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Michele C. Graham

Title

Credentialing Specialist

Phone

(972) 245-1315

Specialties & licenses 3

Addresses

Other names 1

• Patients Choice Family Medicine and Rehab Doing business as

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lynne Charles, DC

  • Chiropractor
  • Dallas, TX
  • NPI 1104405497
  NPD
• Ara R. Dayian, M.D.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1639126766
  NPD
• Rhodeza Tuzon, PT

  • Physical Therapist
  • Dallas, TX
  • NPI 1447820915
  NPD
• Derrick T Abraham, P.T.

  • Physical Therapist
  • Dallas, TX
  • NPI 1346599453
  NPD (past)
• Stefanie Marie Alvarado, PA-C

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1043620586
  NPD (past)
• Andrea Y Dennis, F.N.P.

  • Nurse Practitioner
  • Carrollton, TX
  • NPI 1538106588

  Family

  NPD (past)
• John R Hines II, DC

  • Chiropractor
  • Dallas, TX
  • NPI 1437611142
  NPD (past)
• Julie Joseph, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1346617024
  NPD (past)
• Stephanie Michele Kufert, PA

  • Medical Physician Assistant
  • Dallas, TX
  • NPI 1154591832
  NPD (past)
• Lindsay Majors, APRN-FNP

  • Family Nurse Practitioner
  • Sunnyvale, TX
  • NPI 1427798479
  NPD (past)
• Brian Lee Marek, D.C.

  • Chiropractor
  • Dallas, TX
  • NPI 1003101593
  NPD (past)
• Shaun James Marek, D.C.

  • Rehabilitation Chiropractor
  • Dallas, TX
  • NPI 1316383037
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1437106945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S BUCKNER BLVD",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272304",
            "telephone_number": "214-381-7700",
            "fax_number": "214-381-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S BUCKNER BLVD",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272304",
            "telephone_number": "214-381-7700",
            "fax_number": "214-381-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER FAMILY MEDICAL ASSOCIATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "972-245-1315"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patients Choice Family Medicine and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leia Kirch Buckley
• Marie Buckley, LDP
• Brittany Ann Buckmaster, PA-C
• Buckner 30 Chiropractic Clinic, Inc.
• Buckner Children & Family Services
• Buckner Market Place Dental, P.a.
• Buckner Neighborhood Pharmacy Inc
• Buckner Retirement Services, Inc.
• Buckner Retirement Services, Inc.
• Buckner RSVG PLLC

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.