Buc Crescent Springs LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BUC CRESCENT SPRINGS LLC

Practice address

2327 Buttermilk Xing
Crescent Springs, KY 41017-1622

Phone

(859) 344-7900

Fax

(859) 344-0099

NPI assigned

Nov 9, 2012

Last updated

Dec 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert R So, MD

Title

Medical Director

Phone

(859) 344-7900

Specialties & licenses 5

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1750635926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 BUTTERMILK XING",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171622",
            "telephone_number": "859-344-7900",
            "fax_number": "859-344-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 BUTTERMILK XING",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171622",
            "telephone_number": "859-344-7900",
            "fax_number": "859-344-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUC CRESCENT SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "859-344-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100272280",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100415420",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144556",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100420760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better Health Chiropractic Care PSC
• Blue Lotus Counseling, LLC
• Ailey L. Blystone
• Jessica Brummer, M.ED, LPATA
• Sarah Jaleel Brunelle
• Rebecca Burgard, LCSW
• Buttermilk Chiropractic Center of Crescent Springs, P.S.C. (Buttermilk Chiropractic Center)
• Buttermilk Family and Cosmetic Dentistry
• Gary D. Callioni, D.C.
• Kimberley Castaneda Schneider

• Urgent Care Clinic/Center in Crescent Springs, KY
• Providers in Crescent Springs, KY by specialty
• Urgent Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.