Loren Ashley Buck, D.O.
Individual provider Active NPI Diagnostic Radiology Physician · Rock Hill, SC
NPI 1760724835 · NPPES record last updated Apr 6, 2020
Key facts
- NPI
- 1760724835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 2018-00118 (NC)
- Practice address
- 222 Herlong Ave S
Rock Hill, SC 29732-1158 - Phone
- (803) 329-1234
- Fax
- (864) 987-1611
- NPI assigned
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Ohio University, College of Osteopathic Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greensboro Radiology PA
Regional Imaging Associates
Practice addresses (Care Compare)
1331 N Elm St
Greensboro, NC 27401-6304
Phone (336) 274-6682
304 W Park Ave
Charlotte, NC 28203-4441
Phone (903) 663-4800
Hospital & facility affiliations
- Wayne Hospital
- Southeastern Regional Medical Center
- Miami Valley Hospital
- Reid Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NC, SC, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180814002246 | NC | Practitioner - Diagnostic Radiology | 4587959994 | Reassigns benefits to 4 organizations |
| I20190729001331 | SC | Practitioner - Diagnostic Radiology | 4587959994 | |
| I20260306002430 | OH | Practitioner - Ophthalmology | 4587959994 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-00118 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Radiology Associates, PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Regional Imaging Associates | Diagnostic Radiology | Current |
Accepting new patients |
| Coastal Carolina Health Care PA | Current | Accepting new patients | |
| Coastal Carolina Health Care PA | Diagnostic Radiology | Current |
Accepting new patients |
| Coastal Carolina Health Care PA | Current |
Accepting new patients | |
| Coastal Carolina Health Care PA | Current | Accepting new patients | |
| Greensboro Radiology, PA | Diagnostic Radiology | Current |
Accepting new patients |
| Wayne Hospital Company | Current |
Accepting new patients |
Locations
1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285
720 Newman Rd
New Bern, NC 28562
Phone (252) 638-3885
1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678
1030 Medical Park Ave
New Bern, NC 28562
Phone (252) 637-5480
1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685
722 Newman Rd
New Bern, NC 28562
Phone (828) 884-3424
835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
218 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 327-2828
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2018-00118 | NC | Yes |
Addresses
Primary practice location
222 Herlong Ave S
Rock Hill, SC 29732-1158
Mailing address
P O B Ox 63308
Charlotte, NC 28263-3308
Phone (866) 264-3435
NPI Registry JSON
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1760724835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O B OX 63308",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633308",
"telephone_number": "866-264-3435",
"fax_number": "864-987-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 HERLONG AVE S",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321158",
"telephone_number": "803-329-1234",
"fax_number": "864-987-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "LOREN",
"middle_name": "ASHLEY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2018-00118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
- Sharon Watts Brown
- Yvette Brown
- Amy Bruchon
- Dianne Bryant III
- David Price Buck
- Patricia Elaine Buckson
- Heather Nicole Bucsh
- Whitney Meek Buechel
- Christie Buehrig
- Hong T. Bui
All providers in Rock Hill, SC · Diagnostic Radiology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.