Gary A Buffington, MD
Individual provider Active NPI Internal Medicine Physician · Great Falls, MT
NPI 1922009802 · NPPES record last updated Feb 24, 2010
Key facts
- NPI
- 1922009802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4238 (MT)
- Practice address
- 1101 26TH St S
Great Falls, MT 59405-5161 - Phone
- (406) 455-4690
- Fax
- (406) 455-4752
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180614000096 | AZ | Practitioner - Internal Medicine |
3274680723 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4238 | MT | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Arizona LLC | Internal Medicine | Current |
Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4238 | MT | Yes |
| Nephrology Physician | 207RN0300X | 4238 | MT |
Addresses
Primary practice location
1101 26TH St S
Great Falls, MT 59405-5161
Mailing address
5410 Maryland Way
Suite 300
Brentwood, TN 37027-5064
Phone (615) 371-5765
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0044187 | Medicaid | MT |
Other providers in Great Falls, MT
- Stephanie S Bryant
- Janice Skinner Brzoticky
- BSMC of Montanallc
- Chelsa Buehner
- Bruce Hollis Buer
- Buildcraft Montana LLC
- Alexander Mikhail Bules
- Jace Bullard
- Baokou Bungard-Thao
- Erin K Burch
All providers in Great Falls, MT · Internal Medicine Physician in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.