L. J. Buckel MD Inc

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

01022110 Issued in IN

Legal business name

L. J. BUCKEL MD INC

Practice address

92 S Park Blvd
Greenwood, IN 46143-8836

Phone

(317) 889-7546

Fax

(317) 889-2482

NPI assigned

Aug 14, 2007

Last updated

Mar 21, 2024By 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. Larry J Buckel, MDNPI 1811090939

Title

President

Phone

(317) 889-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

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.

• Larry J Buckel, MD

  • Dermatopathology Physician
  • Greenwood, IN
  • NPI 1811090939
  Medicare reassignment NPD Authorized official
• Thomas J Eads, MD

  • Dermatology Physician
  • Greenwood, IN
  • NPI 1942303151
  NPD
• Laura T Stitle, MD

  • Dermatology Physician
  • Greenwood, IN
  • NPI 1457446247
  NPD

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1467644344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 S PARK BLVD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438836",
            "telephone_number": "317-889-7546",
            "fax_number": "317-889-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 S PARK BLVD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438836",
            "telephone_number": "317-889-7546",
            "fax_number": "317-889-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. J. BUCKEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "BUCKEL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-889-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IN",
            "license": "01022110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Kunkel
• Mary Kunkel, OTR/L
• Fengyi Kuo, MA, OTR
• Kyle Nicholas Kurasz, PA-C
• Myolin Kyaw, PHRAM.D
• Kiersten Ann Labanauskas, RBT
• Patrick Joseph Laboe, MD
• Laboratory Corporation of America Holdings
• Julie Lacreta, LACA
• Elisabeth Ladd

• Dermatopathology Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Dermatopathology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.