Individual provider Active NPI

Leah Buck

  • Physician Assistant
  • Tallmadge, OH
National Provider Identifier
1982186573
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114828 Issued in FL
Practice address
145 West Ave
Tallmadge, OH 44278-2250
Phone
(330) 633-8341
Fax
(330) 633-8462
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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 4

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh Physicians 4,166 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211109003423 FL Practitioner - Physician Assistant 6305190273 Reassigns benefits to 1 organization
I20240806000423 PA Practitioner - Physician Assistant 6305190273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9114828FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jun 3, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jun 3, 2024 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince Nov 9, 2021 Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

800 West Bay Dr
Unit 1
Largo, FL 33770

200 Lothrop St
Ste 300
Pittsburgh, PA 15213
Phone (412) 647-2100

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

Interoperability endpoints

  • Direct secure messaging: leah.buck@upmcdirect.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114828 FL Primary
Physician Assistant 363A00000X

Addresses

NPPES NPI Registry

Primary practice location

145 West Ave
Tallmadge, OH 44278-2250

Mailing address

800 W Bay Dr
Unit 1
Largo, FL 33770-3222
Phone (330) 633-8341

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address leahbuck@uhps.allscriptsdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2021.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1982186573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W BAY DR",
            "address_2": "UNIT 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703222",
            "telephone_number": "330-633-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782250",
            "telephone_number": "330-633-8341",
            "fax_number": "330-633-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114828",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leahbuck@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "145 West Ave",
            "city": "Tallmadge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442782250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

Verify at the official NPI Registry.