Jeffrey Allen Buckwalter, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD030903E Issued in PA

Practice address

2100 N Broad St
Lansdale, PA 19446-1052

Phone

(215) 368-5290

Fax

(215) 368-4401

NPI assigned

Dec 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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.

• Pinnacle ENT Alliance LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Wayne, PA
  • NPI 1538230313
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197072000000",
    "number": "1831252915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461052",
            "telephone_number": "215-368-5290",
            "fax_number": "215-348-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461052",
            "telephone_number": "215-368-5290",
            "fax_number": "215-368-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKWALTER",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD030903E",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "PA",
            "license": "MD030903E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayland Arielle Brown
• Thomas M Browne, MD
• Sharon Christine Bryant, DPT
• Thomas F Bryson Jr., RD
• Lauren Bucci
• Constance A Buffett, DDS
• Audra Bulanhagui
• Danielle Marie Burns, PHARM D
• Buxmont Prosthodontics & Restorative Dentistry LLC
• Diana Calmes, LPC

• Otolaryngology Physician in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Otolaryngology Physician in Pennsylvania

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