Individual provider Active NPI

Jenny Lynn Buck, M.D.

  • Obstetrics & Gynecology Physician
  • Tampa, FL
National Provider Identifier
1598788168
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME130803 Issued in FL
Practice address
5002 W Lemon St
Tampa, FL 33609-1104
Phone
(813) 286-0033
Fax
(813) 282-1806
NPI assigned
Jul 25, 2006
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME130803 FL Primary

Addresses

Primary practice location

5002 W Lemon St
Tampa, FL 33609-1104

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333

Other practice location 1

9332 State Road 54 Ste 406
Trinity, FL 34655-1810
Phone (727) 376-3798

Other identifiers 2

IdentifierTypeStateIssuer
LO737OtherFLMEDICARE
020249800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20061020000548 MI Practitioner - Obstetrics/Gynecology 9830195353 Reassigns benefits to 2 organizations
I20170323002769 FL Practitioner - Obstetrics/Gynecology 9830195353 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens' Health Hospitalists, LLCGroup PAC ID 1850674870, 20 clinicians

Practice addresses (Care Compare)

1 Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 843-2591

4030 W Boy Scout Blvd
Suite 800
Tampa, FL 33607-5713
Phone (813) 286-0033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME130803FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince Aug 19, 2019 Accepting new patients
Pediatrix Medical Group of Florida Inc Obstetrics & Gynecology CurrentSince Aug 1, 2024 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Jun 1, 2023 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince Aug 19, 2019 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Dec 25, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Obhg Michigan, PC Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Dec 25, 2024 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Jun 1, 2023 Accepting new patients
HPCN Past Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

9332 State Road 54
Ste 406
Trinity, FL 34655
Phone (727) 376-3798

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

7 Atkinson Dr
Ste 200
Ludington, MI 49431
Phone (231) 843-2664

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1598788168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0333",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 W LEMON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091104",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9332 State Road 54 Ste 406",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551810",
            "country_code": "US",
            "telephone_number": "727-376-3798",
            "fax_number": "727-375-0698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "JENNY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME130803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LO737",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020249800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.