Susan Marie Buck

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

150118 Issued in PA

Practice address

1077 1St St
Nanty Glo, PA 15943-1159

Phone

(814) 749-7332

NPI assigned

Mar 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blacklick Valley Foundation and Ambulance Service Inc

  • Land Ambulance
  • Nanty Glo, PA
  • NPI 1033173828
  NPD (past)

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1477209286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 TROUT RD",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157147916",
            "telephone_number": "814-659-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 1ST ST",
            "city": "NANTY GLO",
            "state": "PA",
            "postal_code": "159431159",
            "telephone_number": "814-749-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "PA",
            "license": "150118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMT-B",
            "identifier": "150118",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alternative Community Resource Program, Inc.
• Alternative Community Resource Program, Inc.
• Megan Joy Beiler, LSW
• Blacklick Valley Foundation and Ambulance Service Inc
• Blacklick Valley School District
• Conemaugh Health Initiatives
• Conemaugh Health Initiatives
• Conemaugh Health Initiatives
• DLP Conemaugh Physician Practices LLC
• Heather Anne Fisanick, PHARMD

• Basic Emergency Medical Technician in Nanty Glo, PA
• Providers in Nanty Glo, PA by specialty
• Basic Emergency Medical Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.