Active NPI
Chad Dewayne Buffkin, D.O.
- Emergency Medicine Physician
- Loris, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 83104
- Practice address
- 3655 Mitchell St
Loris, SC 29569-2827 - Phone
- (843) 716-7000
- NPI assigned
- Feb 9, 2017
- Last updated
- May 1, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 83104 | SC | Primary |
Addresses
Primary practice location
3655 Mitchell St
Loris, SC 29569-2827
Mailing address
3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 756-7000
Other practice location 1
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (843) 457-5898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 27TH St
Portsmouth, OH 45662-2640
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Epmg of Ohio Inc P a | Emergency Medicine | Current | Accepting new patients |
| Musc Community Physicians | Emergency Medicine | Current | Accepting new patients |
Locations
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
Interoperability endpoints
- cbuffkin25263@directmcleodehealth.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Portsmouth, OH
- NPI 1841232196
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
Emergency Medicine
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1730627712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 MITCHELL ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295692827",
"telephone_number": "843-756-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 MITCHELL ST",
"city": "LORIS",
"state": "SC",
"postal_code": "295692827",
"telephone_number": "843-716-7000"
}
],
"practiceLocations": [
{
"address_1": "272 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456019031",
"country_code": "US",
"telephone_number": "843-457-5898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUFFKIN",
"first_name": "CHAD",
"middle_name": "DEWAYNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "83104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loris, SC
- Bio-Medical Applications of South Carolina, Inc. (Loris Dialysis Center)
- Doli Elizabeth Biondillo, MD
- Kari Bolt, CDR
- Heather Boyer, LMT
- Bright Future Counseling, LLC
- Kyron L Cain, CRNA
- Howard Calhoun, LPCS, LCAS, CCS
- Jennifer Hall Canfora, PHD, LPCA
- Chad A Carlsson, OD
- Carmichael Family Chiropractic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.