Daniel A Buckingham, M.D.
Individual provider Active NPI Family Medicine Physician · Oakland, MD
NPI 1992732028 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1992732028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D0064302 (MD)
- Practice address
- 1027 Memorial Dr
Oakland, MD 21550-4343 - Phone
- (301) 533-3300
- Fax
- (833) 448-0361
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Maryland Health Care Corporation
Specialty Physicians of Garrett County, LLC
Practice addresses (Care Compare)
1027 Memorial Dr
Oakland, MD 21550-4343
Phone 30153333003081
32 Corporate Dr
Grantsville, MD 21536-1259
Phone (301) 895-8750
Hospital & facility affiliations
- Garrett County Health Department
- Hospice of Garrett County
- Garrett Regional Medical Center
- West Virginia University Hospitals, Inc
- Preston Memorial Hospital
- Potomac Valley Hospital
- Mon Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20070213000552 | MD | Practitioner - Family Practice | 0042253270 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38840 | KY | MD | Family Medicine Physician |
| D0064302 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Maryland Health Care Corporation | Current | Accepting new patients | |
| Western Maryland Health Care Corporation | Current |
Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current |
Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current |
Accepting new patients | |
| Western Maryland Health Care Corporation | Current |
Accepting new patients | |
| GRMC, Inc. | Past | Accepting new patients | |
| Western Maryland Health Care Corporation | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Western Maryland Health Care Corporation | Family Medicine | Past | Accepting new patients |
Locations
32 Corporate Dr
Grantsville, MD 21536
Phone (301) 895-3922
28 Hershberger Ln
Grantsville, MD 21536
Phone (301) 895-5107
104 Parkview Dr
Grantsville, MD 21536
Phone (301) 895-5107
255 N 4th St
Ste 1
Oakland, MD 21550
Phone (301) 533-1046
880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177
1027 Memorial Dr
Oakland, MD 21550
Phone (301) 533-3300
22221 Westernport Rd SW
Westernport, MD 21562
Phone (240) 774-0204
Interoperability endpoints
- daniel.buckingham.1@28818.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0064302 | MD | Yes |
| Family Medicine Physician | 207Q00000X | 38840 | KY |
Addresses
Primary practice location
1027 Memorial Dr
Oakland, MD 21550-4343
Mailing address
1027 Memorial Dr
Oakland, MD 21550-4343
Phone (301) 533-3300
Other practice location 1
22221 Westernport Rd SW
Westernport, MD 21562-2206
Phone (240) 774-0204
Other practice location 2
104 Parkview Dr
Grantsville, MD 21536-1086
Phone (844) 652-8730
Other providers in Oakland, MD
- Brighter View Healthcare Services LLC
- Macy Brill
- Brookside Health & Wellness LLC
- Sarah Eleanore Brown
- Alice M Browning
- Kenneth Robert Buczynski
- Cole Burdette
- Barbra Faires Burkett
- Burlington United Methodist Family Services, Inc.
- Tarry Adair Butner
All providers in Oakland, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.