Thomas Maurice Buchanan, M.D.
Individual provider Active NPI Neurology Physician · Salt Lake City, UT
NPI 1710162227 · NPPES record last updated Jan 6, 2015
Key facts
- NPI
- 1710162227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 68051411205 (UT)
- Practice address
- 30 N 1900 E
#3R210
Salt Lake City, UT 84132-0002 - Phone
- (801) 585-6387
- Fax
- (801) 581-4192
- NPI assigned
- Jan 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rangely Hospital District
Northeastern Utah Medical Group
Practice addresses (Care Compare)
225 Eagle Crest Dr
Rangely, CO 81648-3105
Phone (970) 675-4253
405 N 500
Vernal, UT 84078-1907
Phone (435) 789-6203
Hospital & facility affiliations
- Uintah Basin Medical Center
- Ashley Regional Medical Center
- Rangely District Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110407000029 | UT | Practitioner - Neurology | 7517141088 | Reassigns benefits to 3 organizations |
| I20240110002938 | CO | Practitioner - Neurology | 7517141088 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68051411205 | UT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Group Grand Junction, LLC | Current |
Accepting new patients | |
| Ashley Valley Physician Practice, LLC | Current |
Accepting new patients | |
| Ashley Valley Physician Practice LLC | Current |
Accepting new patients | |
| Rangely Hospital District | Current |
Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current |
Accepting new patients | |
| Intermountain Medical Group Grand Junction, LLC | Current | Accepting new patients | |
| Rangely Hospital District | Current |
Accepting new patients | |
| Ashley Valley Physician Practice, LLC | Neurology | Current | Accepting new patients |
| University Health Care | Past | Accepting new patients | |
| Northeastern Utah Medical Group | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810
1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864
750 Wellington Ave
Ste 3C
Grand Junction, CO 81501
Phone (970) 243-7908
225 Eagle Crest Dr
Rangely, CO 81648
Phone (970) 675-4253
250 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691
250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691
175 N 100 W
Ste 205A
Vernal, UT 84078
Phone (435) 781-1200
150 W 100 N
Ste S103
Vernal, UT 84078
Phone (435) 781-1011
175 N 100 W
Ste 104
Vernal, UT 84078
Phone (435) 781-3053
405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335
Interoperability endpoints
- thomas.buchanan.1@15452.direct.athenahealth.com
- rsi8046@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 68051411205 | UT | Yes |
Addresses
Primary practice location
30 N 1900 E
#3R210
Salt Lake City, UT 84132-0002
Mailing address
175 N 100 W
Suite N104
Vernal, UT 84078-2049
Phone (435) 781-8464
Other providers in Salt Lake City, UT
- James Buchanan
- Janet C Buchanan
- Marcus Buchanan
- Sarah Catharine Buchanan
- Susan E Buchanan
- Tyler Buchanan
- Brian Thomas Bucher
- Kari Buchholz
- Karen Buchi
- Luke Oliver Buchmann
All providers in Salt Lake City, UT · Neurology Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.