Active NPI
Buckingham Pediatrics PC
- Pediatrics Physician
- Buckingham, PA
National Provider Identifier
1609906247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BUCKINGHAM PEDIATRICS PC
- Practice address
- 4870 York Road
Buckingham, PA 18912 - Phone
- (215) 794-3305
- Fax
- (215) 794-9642
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. William D Moore, DO
- Title
- Owner President
- Phone
- (215) 794-3305
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Buckingham, PA
- NPI 1447491303
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2290716 | Buckingham Pediatrics, PC | Certificate of waiver | Sep 28, 2027 |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4870 York Road
Buckingham, PA 18912
Mailing address
PO Box 665
4870 York Road
Buckingham, PA 18912
Phone (215) 794-3305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609906247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 665",
"address_2": "4870 YORK ROAD",
"city": "BUCKINGHAM",
"state": "PA",
"postal_code": "18912",
"telephone_number": "215-794-3305",
"fax_number": "215-794-9642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 YORK ROAD",
"city": "BUCKINGHAM",
"state": "PA",
"postal_code": "18912",
"telephone_number": "215-794-3305",
"fax_number": "215-794-9642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKINGHAM PEDIATRICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "215-794-3305",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckingham, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.