Active NPI
Kathryn D Buck, M.D.
- Specialist
- Boerne, TX
National Provider Identifier
1801006945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- H3300
- Practice address
- 124 E. Bandera Rd.
Suite 304
Boerne, TX 78006 - Phone
- (830) 816-5055
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H3300 | TX | Primary |
Addresses
Primary practice location
124 E. Bandera Rd.
Suite 304
Boerne, TX 78006
Mailing address
124 E. Bandera Rd.
Suite 304
Boerne, TX 78006
Phone (830) 816-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H3300 | Other | TX | STATE LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H3300 | TX | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abcd Pediatrics | Past | Accepting new patients | |
| Anne D Logan Mdpa | Past | Accepting new patients | |
| Greater San Antonio Emergency Physicians, PA | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1841280278
-
- Pediatrics Physician
- Boerne, TX
- NPI 1477617470
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1134184831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1801006945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E. BANDERA RD.",
"address_2": "SUITE 304",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-816-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E. BANDERA RD.",
"address_2": "SUITE 304",
"city": "BOERNE",
"state": "TX",
"postal_code": "78006",
"telephone_number": "830-816-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "KATHRYN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "H3300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "H3300",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.