Active NPI
Christopher Forbes Buckley, D.O
- Anesthesiology Physician
- Sanford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2005-01008
- Practice address
- 1135 Carthage St
Sanford, NC 27330-4162 - Phone
- (919) 774-2100
- NPI assigned
- May 30, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2005-01008 | NC | Primary |
Addresses
Primary practice location
1135 Carthage St
Sanford, NC 27330-4162
Mailing address
1798 Irish Blvd
Sanford, NC 27332-7330
Phone (910) 638-8506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14089 | Other | NC | BCBS-NC PROVIDER ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Philadelphia College of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-01008 | NC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Company, LLC | Anesthesiology | Current | Accepting new patients |
| North Carolina Anesthesia Partners, PLLC | Anesthesiology | Past | Accepting new patients |
Locations
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631
Interoperability endpoints
- cbuckley20548@direct.umm.edu
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
-
- Anesthesiology Physician
- Sanford, NC
- NPI 1164694782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208736000000",
"number": "1972550358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1798 IRISH BLVD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273327330",
"telephone_number": "910-638-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 CARTHAGE ST",
"city": "SANFORD",
"state": "NC",
"postal_code": "273304162",
"telephone_number": "919-774-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLEY",
"first_name": "CHRISTOPHER",
"middle_name": "FORBES",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2008-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2005-01008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-NC PROVIDER ID #",
"identifier": "14089",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.