Organization Active NPI

Mike Buffington, M.D., P.a.

  • Family Medicine Physician
  • Fayetteville, AR
National Provider Identifier
1740264050
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIKE BUFFINGTON, M.D., P.A.
Practice address
34 W Colt Square Dr Ste 3
Fayetteville, AR 72703-2888
Phone
(479) 521-1420
Fax
(866) 286-2967
NPI assigned
Nov 30, 2005
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Michael L. Buffington, M.D.NPI 1922007905
Title
Owner
Phone
(870) 289-5865

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AR Primary

Addresses

Primary practice location

34 W Colt Square Dr Ste 3
Fayetteville, AR 72703-2888

Mailing address

PO Box 1266
Fayetteville, AR 72702-1266
Phone (479) 521-1420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000656 AR Part B Supplier - Clinic/Group Practice 7214955962 Receives reassigned benefits from 2 practitioners
Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory

Locations

1314 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-4343

34 W Colt Square Dr
Ste 3
Fayetteville, AR 72703
Phone (479) 521-1420

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1740264050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021266",
            "telephone_number": "479-521-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W COLT SQUARE DR STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032888",
            "telephone_number": "479-521-1420",
            "fax_number": "866-286-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE BUFFINGTON, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BUFFINGTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-289-5865",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.