Kennan Jude Buechter, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E7408 Issued in AR

Practice address

1000 W Kingshighway Ste 13
Paragould, AR 72450-4197

Phone

(870) 239-8107

Fax

(870) 239-8115

NPI assigned

Mar 11, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, LA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

University of Missouri, Columbia School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossett Health FoundationGroup PAC ID 9133030117, 23 clinicians

Mena Surgical ClinicGroup PAC ID 8123185725, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ashley County Medical Center Hospital, Crossett, AR, CCN 041323
• Mena Regional Health System Hospital, Mena, AR, CCN 041334

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAHFAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crossett Health Foundation

  • Pediatric Otolaryngology Physician
  • Crossett, AR
  • NPI 1548252745

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Mena Surgical Clinic

  • Surgery Physician
  • Mena, AR
  • NPI 1871738161

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Crossett Health Foundation

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Medicare reassignment
• Crossett Health Foundation

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1639159973

  Multi-Specialty

  NPD
• Louisiana State University School of Medicine in New Orleans Faculty G

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1477582526
  NPD (past)
• Lsu Medical Center

  • Speech-Language Pathologist
  • New Orleans, LA
  • NPI 1588737803

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crossett Health Foundation

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Care Compare affiliation
• Mena Hospital Commission

  • Critical Access Hospital
  • Mena, AR
  • NPI 1861449639
  Care Compare affiliation

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1689815227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 14",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-239-8591",
            "fax_number": "870-239-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 13",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-239-8107",
            "fax_number": "870-239-8115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 Martin Luther King Dr",
            "address_2": "HRMC, Suite A",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "AR",
            "postal_code": "723429103",
            "country_code": "US",
            "telephone_number": "870-816-3676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUECHTER",
        "first_name": "KENNAN",
        "middle_name": "JUDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-7408",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "627",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "E7408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blair Bruner
• Gracelyn Bruner
• Kaylee Bryan
• Kaitlyn A Bryant
• Mary Buchanan
• Building Better Futures,LLC
• Kylee Bulkley, BT
• Olivia Bulkley
• William Jennison Bulkley, MD
• Chanel Dominque Bullock, APN, FNP-C

• Surgery Physician in Paragould, AR
• Providers in Paragould, AR by specialty
• Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.