Jeffrey R Buchhalter, M.D.

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

38980 Issued in MN

Practice address

1919 E Thomas Rd
Phoenix, AZ 85016-7710

Phone

(602) 546-0970

Fax

(602) 546-0469

NPI assigned

Feb 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982676714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "address_2": "BLDG. C MANAGED CARE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-546-0486",
            "fax_number": "602-546-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-546-0970",
            "fax_number": "602-546-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHALTER",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MN",
            "license": "38980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119333",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grant Stafford Buchanan, MD
• Jenna Buchanan, MD
• Kristen Marie Buchanan, PA-C
• Nicole Renee Buchanan, D.C
• Sharon M Buchanan, OTR
• Kimberly Bucich, R.D.
• Buck Healthcare LLC
• Jena Paige Buck, OTD, OTR
• Jennifer Marie Buck, M.A., CCC-SLP
• Johnny Jason Buck, LPC

• Neurology with Special Qualifications in Child Neurology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.