Active NPI
Deborah Jean Buzzard, PT
- Physical Therapist
- Fort Defiance, AZ
National Provider Identifier
1558537043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05000816A
- Practice address
- Corner of Route N12 and N7
Fort Defiance Indian Hospital
Fort Defiance, AZ 96504-0649 - Phone
- (928) 729-8132
- Fax
- (928) 729-8019
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05000816A | IN | Primary |
| Physical Therapist | 225100000X | 2358 | SC |
Addresses
Primary practice location
Corner of Route N12 and N7
Fort Defiance Indian Hospital
Fort Defiance, AZ 96504-0649
Mailing address
131 Balbriggan Dr
Goose Creek, SC 29445-5756
Phone (843) 863-0416
Other names 1
- Miss Deborah Jean Clark
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Fort Defiance Hospital | 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.
-
dba PHS Fort Defiance Indian Hospital
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1558537043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 BALBRIGGAN DR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294455756",
"telephone_number": "843-863-0416",
"fax_number": "843-863-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORNER OF ROUTE N12 AND N7",
"address_2": "FORT DEFIANCE INDIAN HOSPITAL",
"city": "FORT DEFIANCE",
"state": "AZ",
"postal_code": "965040649",
"telephone_number": "928-729-8132",
"fax_number": "928-729-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZZARD",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05000816A",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "2358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "CLARK",
"middle_name": "JEAN",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Defiance, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.