Stacen Buchholz, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MB10116800 Issued in NJ

Practice address

1505 W Sherman Ave
Vineland, NJ 08360-6912

Phone

(856) 641-6023

NPI assigned

Jun 9, 2014

Last updated

Sep 18, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC, CO, KS4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Emergency Medicine

Education

Touro Un College of Osteopathic Medicine, Vallejo, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Usacs Community Emergency Services of Colorado Inc.Group PAC ID 2466711536, 167 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
• St. Catherine Hospital - Garden City Hospital, Garden City, KS, CCN 170023
• Intermountain Health Lutheran Hospital Hospital, Wheat Ridge, CO, CCN 060009
• Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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

• Usacs Community Emergency Services of Colorado, Inc.

  • Emergency Medicine Physician
  • Arvada, CO
  • NPI 1053824979
  Medicare reassignment Care Compare group NPD
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Wheat Ridge, CO
  • NPI 1326097668
  Medicare reassignment NPD
• Mep Health, LLC

  • Emergency Medicine Physician
  • Rockville, MD
  • NPI 1164483558
  Medicare reassignment NPD
• Mep Observation Services LLC

  • Emergency Medicine Physician
  • Cumberland, MD
  • NPI 1093003550
  Medicare reassignment NPD
• Premier Emergency Services, Inc

  • Emergency Medicine Physician
  • Westminster, CO
  • NPI 1457755688
  Medicare reassignment NPD
• Usacs Observation Medicine Services of Colorado Inc.

  • Emergency Medicine Physician
  • Lakewood, CO
  • NPI 1518491232
  Medicare reassignment NPD
• Usacs of Colorado, Inc

  • Emergency Medicine Physician
  • Littleton, CO
  • NPI 1760415871
  Medicare reassignment NPD
• WHC Physician Group LLC

  • General Practice Physician
  • Washington, DC
  • NPI 1700154226

  MD

  Medicare reassignment NPD
• Vep Hutchinson Emergency Medical Group, LLC

  • Emergency Medicine Physician
  • Hutchinson, KS
  • NPI 1669879110
  Medicare reassignment
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Lafayette, CO
  • NPI 1104451699
  NPD
• Emergency Service Physicians, Inc.

  • Emergency Medicine Physician
  • Aurora, CO
  • NPI 1548895048
  NPD
• Mep Observation Services LLC

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1740021625
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Iniatives Colorado

  dba St. Anthony North Hospital

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1619985942
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba 84th Avenue Imaging Center

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1013557545
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba 84th Avenue Emergency/Urgent Care

  • Emergency Care Clinic/Center
  • Westminster, CO
  • NPI 1093355604

  Hospital

  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1104466630
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba St. Anthony Hospital

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1164430567
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1568002095
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1740820273
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1831739440
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1912547449
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba Flight for Life Colorado

  • Air Ambulance
  • Lakewood, CO
  • NPI 1992425854

  Hospital

  Care Compare affiliation
• Commonspirit Kansas, Inc.

  dba St. Catherine Hospital - Garden City

  • General Acute Care Hospital
  • Garden City, KS
  • NPI 1659360196
  Care Compare affiliation
• Intermountain Front Range, Inc

  dba Intermountain Health Lutheran Hospital

  • General Acute Care Hospital
  • Wheat Ridge, CO
  • NPI 1811739923
  Care Compare affiliation

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1497168389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606912",
            "telephone_number": "856-641-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "STACEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB10116800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura J Bruno, L.C.S.W.
• Cornell J. Brunson, MS, LCADC
• Bromiley Bryan
• Rachel Ann Bryant
• Samuel Bucek
• Gary B Buck, MD
• Christopher Buono, RPH
• Kristen Buono
• Burgess Psychiatric Services
• Yvonne M Burgess, APN

• Emergency Medicine Physician in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.