NPIMap

Organization Active NPI

Microsurgical Transplantation Research Foundation

  • Surgery of the Hand (Surgery) Physician
  • San Francisco, CA
National Provider Identifier
1669462487
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
482481 Issued in CA
Legal business name
MICROSURGICAL TRANSPLANTATION RESEARCH FOUNDATION
Practice address
45 Castro St
Suite 121
San Francisco, CA 94114-1022
Phone
(877) 276-7759
Fax
(720) 493-8807
NPI assigned
Oct 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Gregory M Buncke, MDNPI 1396736633
Title
Owner President
Phone
(415) 565-6136

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
Surgery of the Hand (Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0105X 482481 CA Primary

Addresses

Primary practice location

45 Castro St
Suite 121
San Francisco, CA 94114-1022

Mailing address

45 Castro St
#121
San Francisco, CA 94114-1010
Phone (415) 565-6136

Other identifiers 1

IdentifierTypeStateIssuer
GR0047450MedicaidCA

National Provider Directory

National Provider Directory

Locations

45 Castro St
Ste 140
San Francisco, CA 94114
Phone (415) 565-6136

101 N El Camino Real
Ste A
San Mateo, CA 94401
Phone (650) 342-8989

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1669462487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "#121",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141010",
            "telephone_number": "415-565-6136",
            "fax_number": "415-864-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "SUITE 121",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141022",
            "telephone_number": "877-276-7759",
            "fax_number": "720-493-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICROSURGICAL TRANSPLANTATION RESEARCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "BUNCKE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "415-565-6136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "482481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0047450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.