NPIMap

Individual provider Active NPI

Thomas Maurice Buchanan, M.D.

  • Neurology Physician
  • Salt Lake City, UT
National Provider Identifier
1710162227
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
68051411205 Issued in 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
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 68051411205 UT Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110407000029 UT Practitioner - Neurology 7517141088 Reassigns benefits to 3 organizations
I20240110002938 CO Practitioner - Neurology 7517141088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 DistrictGroup PAC ID 6103714175, 15 clinicians
Northeastern Utah Medical GroupGroup PAC ID 2961496609, 52 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68051411205UTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rangely Hospital District CurrentSince Apr 1, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Current Accepting new patients
Ashley Valley Physician Practice LLC CurrentSince Sep 15, 2014 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 19, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Jan 19, 2024 Accepting new patients
Rangely Hospital District CurrentSince Apr 1, 2024 Accepting new patients
Ashley Valley Physician Practice, LLC CurrentSince Sep 15, 2014 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

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

175 N 100 W
Ste 205A
Vernal, UT 84078
Phone (435) 781-1200

Interoperability endpoints

  • Direct secure messaging: rsi8046@yourcarecommunity.org
  • Direct secure messaging: thomas.buchanan.1@15452.direct.athenahealth.com

Organizations & group practices 11

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1710162227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N 100 W",
            "address_2": "SUITE N104",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782049",
            "telephone_number": "435-781-8464",
            "fax_number": "435-781-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "#3R210",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-585-6387",
            "fax_number": "801-581-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "THOMAS",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "68051411205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.