Organization Active NPI

Rhea Buycks PA LLC

Doing business as Rockford Family Care

  • Family Medicine Physician
  • Ardmore, OK
National Provider Identifier
1619421377
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RHEA BUYCKS PA LLC
Doing business as
Rockford Family Care
Practice address
317 N Rockford Rd
Ardmore, OK 73401-2552
Phone
(580) 229-3695
NPI assigned
Aug 11, 2016
Last updated
Jan 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Authorized official

Name
Rhea Buycks, PA-CNPI 1013288687
Title
Physician Assistant
Phone
(580) 229-3695

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

317 N Rockford Rd
Ardmore, OK 73401-2552

Mailing address

317 N Rockford Rd
Ardmore, OK 73401-2552
Phone (580) 229-3695

Other names 1

  • Rockford Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161222000120 OK Part B Supplier - Clinic/Group Practice 9335420801 Receives reassigned benefits from 3 practitioners
Practice locations: Ardmore, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2119588Rockford Family Care317 N Rockford Rd, Ardmore, OK 73401Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1619421377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N ROCKFORD RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012552",
            "telephone_number": "580-229-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N ROCKFORD RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012552",
            "telephone_number": "580-229-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEA BUYCKS PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "BUYCKS",
        "authorized_official_first_name": "RHEA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "580-229-3695",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockford Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.