NPIMap

Individual provider Active NPI

Antonio Buendia, MD

  • Diagnostic Radiology Physician
  • Sunbury, PA
National Provider Identifier
1740262971
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD030587E Issued in PA
Practice address
350 N 11TH St
Sunbury, PA 17801-1611
Phone
(570) 286-3472
Fax
(570) 286-3397
NPI assigned
Nov 15, 2005
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD030587E PA Primary

Addresses

Primary practice location

350 N 11TH St
Sunbury, PA 17801-1611

Mailing address

PO Box 1645
Morgantown, WV 26507-1645
Phone (304) 598-2291

Other identifiers 4

IdentifierTypeStateIssuer
4433688OtherPABLUE SHIELD
0009884480002MedicaidPA
0009884480004MedicaidPA
0009884480007MedicaidPA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Imaging Associates, PC Diagnostic Radiology Past Accepting new patients
Radiological Assoc of Sunbury Diagnostic Radiology Past Accepting new patients
FRG Central PA PC Diagnostic Radiology Past Accepting new patients
Amerirad Inc Diagnostic Radiology Past Accepting new patients
Premier Radiology Associates PC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1740262971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1645",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265071645",
            "telephone_number": "304-598-2291",
            "fax_number": "304-598-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N 11TH ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178011611",
            "telephone_number": "570-286-3472",
            "fax_number": "570-286-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENDIA",
        "first_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD030587E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "4433688",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009884480002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009884480004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009884480007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.