Carolyn Buckley
Individual provider Active NPI Anesthesiology Physician · Concord, NH
NPI 1801276993 · NPPES record last updated Jul 5, 2024
Key facts
- NPI
- 1801276993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 25762 (NH)
- Practice address
- 250 Pleasant St
Concord, NH 03301-2598 - Phone
- (603) 227-7000
- Fax
- (603) 227-7827
- NPI assigned
- Jun 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Massachusetts Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Concord Hospital Inc
Practice addresses (Care Compare)
250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138
Hospital & facility affiliations
- Concord Hospital
- Concord Hospital- Laconia
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- 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 |
|---|---|---|---|---|
| I20240723003424 | NH | Practitioner - Anesthesiology | 1850698572 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25762 | NH | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital, Inc. | Current |
Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Anesthesiology | Current |
Accepting new patients |
| Concord Hospital, Inc. | Current |
Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
Interoperability endpoints
- cbuckley@crhc.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 273529 | MA | |
| Internal Medicine Physician | 207R00000X | 263245 | MA | |
| Anesthesiology Physician | 207L00000X | 25762 | NH | Yes |
Addresses
Primary practice location
250 Pleasant St
Concord, NH 03301-2598
Mailing address
250 Pleasant St
Concord, NH 03301-2598
Phone (603) 227-7000
Other practice location 1
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbuckley@crhc.cernerdirect.com | Direct |
Other providers in Concord, NH
- Kristi L Bryson
- Carolyn Buchanan
- Rachel Buchanan
- Robert J Buchholz Jr.
- Barbara Carolyn Buck
- Susan R. Buckley
- Tristan Buckley
- Julie Buelte
- Michael S Buff
- Peter Bulanowski
All providers in Concord, NH · Anesthesiology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2024. 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.