Individual provider Active NPI

Sydney E Bucknum

  • Physician Assistant
  • Wilkes Barre, PA
National Provider Identifier
1497660609
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA068027 Issued in PA
Practice address
350 Laird St Ste 200
Wilkes Barre, PA 18702-6935
Phone
(267) 668-2908
NPI assigned
Aug 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA068027 PA Primary

Addresses

Primary practice location

350 Laird St Ste 200
Wilkes Barre, PA 18702-6935

Mailing address

106 Wagner Rd
Evans City, PA 16033-3032
Phone (714) 353-8919

Other practice location 1

1244 Hamilton St
Allentown, PA 18102-4699
Phone (267) 668-2908

Other practice location 2

30 Choate Cir Ste 1
Montoursville, PA 17754-9703
Phone (267) 668-2908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carepath Injury Centers of Pennsylvania Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1497660609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WAGNER RD",
            "city": "EVANS CITY",
            "state": "PA",
            "postal_code": "160333032",
            "telephone_number": "714-353-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LAIRD ST STE 200",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026935",
            "telephone_number": "267-668-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181024699",
            "country_code": "US",
            "telephone_number": "267-668-2908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Choate Cir Ste 1",
            "address_purpose": "LOCATION",
            "city": "Montoursville",
            "state": "PA",
            "postal_code": "177549703",
            "country_code": "US",
            "telephone_number": "267-668-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNUM",
        "first_name": "SYDNEY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA068027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.