NPIMap

Individual provider Active NPI

Jason Alexander Buschman, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Gainesville, FL
National Provider Identifier
1891720728
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DTP787 Issued in FL
Practice address
1600 SW Archer Rd # D7-6
Gainesville, FL 32610-0416
Phone
(352) 273-6750
Fax
(352) 392-7609
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2016042396 MO
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5272 OK
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DTP787 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd # D7-6
Gainesville, FL 32610-0416

Mailing address

1600 SW Archer Rd # D7-6
Gainesville, FL 32610-0416
Phone (352) 273-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180809004322 NC Practitioner - Oral Surgery 6901060763 Reassigns benefits to 1 organization
I20230605002798 FL Practitioner - Oral Surgery 6901060763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Oklahoma College of Dentistry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Faculty Associates IncorporatedGroup PAC ID 4981707460, 16 clinicians

Practice addresses (Care Compare)

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-5380

Hospital & facility affiliations

  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DTP787FLMDOral and Maxillofacial Surgery (Dentist)
5272OKMDPhysical Therapist

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jun 1, 2023 Accepting new patients
East Carolina University CurrentSince Jun 1, 2018 Accepting new patients
East Carolina University CurrentSince Jun 1, 2018 Accepting new patients
East Carolina University Current Accepting new patients
Faculty Associates Incorporated CurrentSince May 1, 2023 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jun 1, 2023 Accepting new patients
University of Frida PastSince May 28, 2023 Accepting new patients
Southwest Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1600 SW Archer Rd
Rm D26
Gainesville, FL 32610
Phone (352) 273-5380

1600 SW Archer Rd
#D76
Gainesville, FL 32610
Phone (352) 273-6750

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1851 Macgregor Downs Rd
Greenville, NC 27834
Phone (252) 737-7000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jbuschman627683@direct.shands.ufl.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1891720728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD # D7-6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100416",
            "telephone_number": "352-273-6750",
            "fax_number": "352-392-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD # D7-6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100416",
            "telephone_number": "352-273-6750",
            "fax_number": "352-392-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSCHMAN",
        "first_name": "JASON",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2016042396",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "5272",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DTP787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.