Active NPI
Jim A Buck, M.D.
- Family Medicine Physician
- Fairfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23255
- Practice address
- 2000 South Main Street
Ste C
Fairfield, IA 52556-3739 - Phone
- (641) 472-4141
- NPI assigned
- Aug 25, 2006
- Last updated
- Jul 22, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23255 | IA | Primary |
Addresses
Primary practice location
2000 South Main Street
Ste C
Fairfield, IA 52556-3739
Mailing address
2000 South Main Street
Ste C
Fairfield, IA 52556-3739
Phone (641) 472-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson County Hospital
Practice addresses (Care Compare)
2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23255 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Past | Accepting new patients |
Locations
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
2000 S Main St
Ste C
Fairfield, IA 52556
Phone (641) 472-4141
2000C S Main St
Fairfield, IA 52556
Phone (515) 472-4141
Interoperability endpoints
- jbuck83767@uihcdirect.org
Organizations & group practices 5
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.
-
dba Jefferson County Health Center
- Critical Access Hospital
- Fairfield, IA
- NPI 1376648329
-
dba JCHC Richland Clinic
- Rural Health Clinic/Center
- Richland, IA
- NPI 1881294536
-
- Family Medicine Physician
- Fairfield, IA
- NPI 1659482388
-
dba JCH Professional Clinic
- Surgery Physician
- Fairfield, IA
- NPI 1972771384
-
dba JCHC Rural Health Clinic
- Rural Health Clinic/Center
- Fairfield, IA
- NPI 1457728008
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Jefferson County Health Center
- Critical Access Hospital
- Fairfield, IA
- NPI 1376648329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1841308533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SOUTH MAIN STREET",
"address_2": "STE C",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563739",
"telephone_number": "641-472-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 SOUTH MAIN STREET",
"address_2": "STE C",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563739",
"telephone_number": "641-472-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "JIM",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "23255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.