Active NPI
Jeffrey J. Buffo, M.D
- Specialist
- Hiawatha, IA
National Provider Identifier
1700866845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 28021
- Practice address
- 1550 Boyson Rd
Hiawatha, IA 52233-2362 - Phone
- (319) 743-7300
- Fax
- (319) 743-7311
- NPI assigned
- Jan 17, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 28021 | IA | Primary |
Addresses
Primary practice location
1550 Boyson Rd
Hiawatha, IA 52233-2362
Mailing address
1550 Boyson Rd
Hiawatha, IA 52233-2362
Phone (319) 743-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076026 | Medicaid | IA |
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 |
|---|---|---|---|
| 28021 | IA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1700866845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 BOYSON RD",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332362",
"telephone_number": "319-743-7300",
"fax_number": "319-743-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 BOYSON RD",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332362",
"telephone_number": "319-743-7300",
"fax_number": "319-743-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFO",
"first_name": "JEFFREY",
"middle_name": "J.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IA",
"license": "28021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076026",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.