Mary Lou Buendia, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD030688E Issued in PA

Practice address

2 E Sunbury St
Shamokin, PA 17872-4881

Phone

(570) 644-0893

Fax

(570) 644-0894

NPI assigned

Mar 23, 2006

Last updated

Feb 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1942260062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E SUNBURY ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178724881",
            "telephone_number": "570-644-0893",
            "fax_number": "570-644-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E SUNBURY ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178724881",
            "telephone_number": "570-644-0893",
            "fax_number": "570-644-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENDIA",
        "first_name": "MARY LOU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD030688E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009395140002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anju Agnish, DMD PC
• Area Services, Inc.
• Assist Home Care Inc.
• Back 2 Back Chiropractic LLC
• Thomas A Bradley, RPH
• James R Bull, DMD
• Central Penn Physical Therapy Inc.
• Sean Ciborowski
• Community Health Care RHC
• Community Health Care Rural Health Clinic, LLC

• Pediatric Adolescent Medicine Physician in Shamokin, PA
• Providers in Shamokin, PA by specialty
• Pediatric Adolescent Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.