Individual provider Active NPI

Loren Ashley Buck, D.O.

  • Diagnostic Radiology Physician
  • Rock Hill, SC
National Provider Identifier
1760724835
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2018-00118 Issued in 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
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 2018-00118 NC Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 PAGroup PAC ID 8729074901, 236 clinicians
Regional Imaging AssociatesGroup PAC ID 7113372236, 22 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2018-00118NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Aug 19, 2018 Accepting new patients
Wayne Hospital Company CurrentSince Feb 9, 2026 Accepting new patients
Regional Imaging Associates Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Oct 15, 2022 Accepting new patients
Coastal Carolina Health Care PA CurrentSince Jan 1, 2024 Accepting new patients

Locations

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1030 Medical Park Ave
New Bern, NC 28562
Phone (252) 637-5480

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

720 Newman Rd
New Bern, NC 28562
Phone (252) 638-3885

722 Newman Rd
New Bern, NC 28562
Phone (828) 884-3424

835 Sweitzer St
Greenville, OH 45331
Phone (937) 548-1141

218 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 327-2828

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.