Active NPI
James Russell Buck, MD
- Pediatric Surgery Physician
- Baltimore, MD
National Provider Identifier
1679698344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- D0016954
- Practice address
- 6565 N Charles St
Ste 305
Baltimore, MD 21204-6800 - Phone
- (443) 849-6201
- Fax
- (443) 849-6280
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | D0016954 | MD | Primary |
Addresses
Primary practice location
6565 N Charles St
Ste 305
Baltimore, MD 21204-6800
Mailing address
PO Box 64563
Baltimore, MD 21264-4563
Phone (410) 933-7440
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10225716 | Other | MD | AMERIGROUP |
| T409/0001 | Other | MD | CAREFIRST REGIONAL |
| 4140449 | Other | MD | AETNA NON HMO |
| 100521 | Other | MD | KAISER |
| 311731600 | Medicaid | MD | |
| 51774 | Other | MD | UHC/MAMSI |
| LN89CH/30516006 | Other | MD | CAREFIRST OF MD |
| 2230415 | Other | MD | AETNA HMO |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0016954 | MD | MD | Pediatric Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1679698344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64563",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644563",
"telephone_number": "410-933-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 N CHARLES ST",
"address_2": "STE 305",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212046800",
"telephone_number": "443-849-6201",
"fax_number": "443-849-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "JAMES",
"middle_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "MD",
"license": "D0016954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10225716",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST REGIONAL",
"identifier": "T409/0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "4140449",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "100521",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311731600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI",
"identifier": "51774",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF MD",
"identifier": "LN89CH/30516006",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2230415",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.