Organization Active NPI

Louis P. Buckymdpc

  • Plastic Surgery Physician
  • Ardmore, PA
National Provider Identifier
1831353473
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
LOUIS P. BUCKYMDPC
Practice address
200 W Montgomery Ave
Ardmore, PA 19003-1416
Phone
(610) 649-2433
Fax
(610) 649-2443
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Louis P. Bucky, MD
Title
President
Phone
(610) 649-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

200 W Montgomery Ave
Ardmore, PA 19003-1416

Mailing address

200 W Montgomery Ave
Ardmore, PA 19003-1416
Phone (610) 649-2433

National Provider Directory

National Provider Directory

Locations

200 W Montgomery Ave
Ardmore, PA 19003
Phone (610) 228-0816

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1831353473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MONTGOMERY AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031416",
            "telephone_number": "610-649-2433",
            "fax_number": "610-649-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MONTGOMERY AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031416",
            "telephone_number": "610-649-2433",
            "fax_number": "610-649-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS P. BUCKYMDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BUCKY",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-649-2433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.