Organization Active NPI

Buchele & Associates Surgical Services, LLC

  • Surgery Physician
  • Joplin, MO
National Provider Identifier
1447310396
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BUCHELE & ASSOCIATES SURGICAL SERVICES, LLC
Practice address
3103 MC Clelland Blvd
Joplin, MO 64804-1640
Phone
(417) 206-3103
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Alan M Buchele, MDNPI 1588631402
Title
MD
Phone
(417) 206-3103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X

Addresses

Primary practice location

3103 MC Clelland Blvd
Joplin, MO 64804-1640

Mailing address

3103 MC Clelland Blvd
Joplin, MO 64804-1640
Phone (417) 206-3103

Other identifiers 1

IdentifierTypeStateIssuer
500305305MedicaidMO

National Provider Directory

National Provider Directory

Locations

3103 Mc Clelland Blvd
Joplin, MO 64804
Phone (417) 206-3103

1020 McIntosh Cir
Ste 201
Joplin, MO 64804
Phone (417) 347-8585

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1447310396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 MC CLELLAND BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041640",
            "telephone_number": "417-206-3103",
            "fax_number": "417-206-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 MC CLELLAND BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041640",
            "telephone_number": "417-206-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHELE & ASSOCIATES SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "BUCHELE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "417-206-3103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500305305",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.