Larry Dean Bucshon, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

01048423A Issued in IN

Practice address

901 St Marys Dr
Suite 300
Evansville, IN 47714-8005

Phone

(812) 473-2642

Fax

(812) 474-4458

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ohio Valley Heartcare Inc

  • Cardiovascular Disease Physician
  • Henderson, KY
  • NPI 1538100995

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD
• Ohio Valley Heartcare Inc

  • Cardiovascular Disease Physician
  • Evansville, IN
  • NPI 1124078852

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760489504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ST MARYS DR",
            "address_2": "SUITE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148005",
            "telephone_number": "812-473-2642",
            "fax_number": "812-474-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ST MARYS DR",
            "address_2": "SUITE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148005",
            "telephone_number": "812-473-2642",
            "fax_number": "812-474-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCSHON",
        "first_name": "LARRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01048423A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64883226",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari W Bryant, NP
• Corinne Buchanan
• Meredith Buchanan
• David E. Buck, DDS
• Jared William Buck, DDS
• Buedel Orthodontics, LLC (Buedel Orthodontics)
• Julie K Buedel, OTR/CHT
• Sarah Buedel, D.D.S., M.S.D.
• Steven W Buedel, DDS
• Austin Mark Buettner, PA-C

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.