Richard Otis Buck, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD11569 Issued in OR

Practice address

2201 Willamette St
Suite C
Eugene, OR 97405-3091

Phone

(541) 683-0730

Fax

(541) 683-4411

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richardotis.buck.p1@direct.lanecounty.nextgenshare.com
• Direct secure messaging: rbuck684257@direct.ochin.org

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.

• Lane County Oregon

  dba Community health Centers of Lane County

  • Federally Qualified Health Center (FQHC)
  • Springfield, OR
  • NPI 1326138314
  Medicare reassignment NPD

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1730166828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WILLAMETTE ST",
            "address_2": "SUITE C",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053091",
            "telephone_number": "541-683-0730",
            "fax_number": "541-683-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WILLAMETTE ST",
            "address_2": "SUITE C",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053091",
            "telephone_number": "541-683-0730",
            "fax_number": "541-683-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "RICHARD",
        "middle_name": "OTIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OR",
            "license": "MD11569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030005151",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041764",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "831390001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE",
            "identifier": "C92307",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Bucholtz, RPH
• Harold Bucholtz
• Jennifer L Bucholtz, LCSW, CADC II
• Chelsea Bucina, PSYD
• Andrew William Buck, M.A., QMHP
• Savonda Jean Buckhanan
• Molly Buckles, M.S. CCC-A
• James Thomas Buckley, PHD
• Kirsten Gwen Buckley, LMT
• Brett Buckner, MOT, MAED, OTR, ATC

• Allergy & Immunology Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Allergy & Immunology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.