Teresa L Buckles, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

50.000533RX Issued in OH

Practice address

6905 Hospital Dr Ste 130
Dublin, OH 43016-9600

Phone

(614) 923-0300

Fax

(614) 914-0400

NPI assigned

Jun 28, 2006

Sex

Female

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

Physician Assistant

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.

• Bala Shark Emergency Physicians LLC

  • Emergency Medicine Physician
  • Coshocton, OH
  • NPI 1508264318
  NPD (past)
• Cardiology Inc

  • Cardiovascular Disease Physician
  • Columbus, OH
  • NPI 1992987341
  NPD (past)
• Circleville Emergency Physicians Inc.

  • Emergency Medicine Physician
  • Circleville, OH
  • NPI 1770583833
  NPD (past)
• Ross Emergency Group PC, Inc

  • Emergency Medicine Physician
  • Chillicothe, OH
  • NPI 1962796177
  NPD (past)
• Marshall Emergency Services Associates, PLLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1891737185
  NPD (past)
• Mesa Indiana Ed Associates, LLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1003250473
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1871521260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "419-520-2495",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR STE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-923-0300",
            "fax_number": "614-914-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLES",
        "first_name": "TERESA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "50.000533",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.000533RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Paul Buck, DDS
• Buckeye Allergy
• Buckeye Clinic
• Buckeye Dermatology Inc
• Lillian Buckingham
• Sheila Denise Buckley, OTR/L
• Latoya D Buckner
• Justin Budd
• Kari N Buehler, CNP
• Laura Bulan

• Medical Physician Assistant in Dublin, OH
• Providers in Dublin, OH by specialty
• Medical Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.