Buckeye a, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020405 Issued in CO

Legal business name

BUCKEYE A, LLC

Practice address

3131 S Federal Blvd
Denver, CO 80236-2713

Phone

(303) 761-0260

Fax

(303) 796-7088

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Mary Koretke

Title

Director of Reimbursement

Phone

(720) 974-6278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1689111783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802362713",
            "telephone_number": "303-761-0260",
            "fax_number": "303-796-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 S FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802362713",
            "telephone_number": "303-761-0260",
            "fax_number": "303-796-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE A, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "020405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buck Jack LLC
• Buck Jack, LLC
• Dustin B Buck, DPT, PT
• Molly Buckel
• Whitney Scott Buckendorf
• Buckeye a, LLC
• Kacie Buckiewicz
• Edward Taylor Buckingham IV, MD
• Catherine Jean Buckland, RNC, MSN, WHNP
• Jennifer Buckley

• Skilled Nursing Facility in Denver, CO
• Providers in Denver, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.