Kevin Stuart Buckley
MD | Pediatrics | Male
Kevin Stuart Buckley, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kevin Stuart Buckley is
Po Box 19305, Charlotte, North Carolina - 28219-9305. He can be contacted on phone at
.
Kevin Stuart Buckley is a sole proprietor of his business.
NPI number (Unique professional ID) for Kevin Stuart Buckley is
1811004302 which was assigned by NPPES on 23 Aug, 2006 and it was last updated on 04 May, 2023.
Kevin Stuart Buckley license number is
2009-01048 for Pediatrics (208000000X) in North Carolina.
Kevin Stuart Buckley is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kevin Stuart Buckley basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kevin Stuart Buckley |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Kevin Stuart Buckley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Po Box 19305
Charlotte, NC, 28219-9305
United States |
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| Phone Number : | |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811004302 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Aug, 2006 |
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| Last Updated On : | 04 May, 2023 |
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Medicare Participation:
Kevin Stuart Buckley participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4183708191 |
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| Medicare Enrollment ID : | I20091027000525 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1999 |
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| Accepts Medicare? | Yes. Kevin Stuart Buckley accepts medicare insurance. |
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Group Practice Association:
Kevin Stuart Buckley is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kevin Stuart Buckley is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Carolinas Medical Center | 4789597477 | 728 | 1000 Blythe Blvd
Charlotte, NC - 282035812 | Yes |
| Carolinas Medical Center | 4789597477 | 728 | 1001 Blythe Blvd
Charlotte, NC - 282035866
Ph: 7044032662 | Yes |
| Carolinas Medical Center | 4789597477 | 728 | 1001 Blythe Blvd
601a
Charlotte, NC - 282035866
Ph: 7043819900 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin Stuart Buckley are as mentioned. Primary taxonomy code for Kevin Stuart Buckley, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | No | 2009-01048 | NC |
| 2080P0208X | Pediatrics, Pediatric Infectious Diseases | No | 2009-01048 | NC |
| 208000000X | Pediatrics | Yes | 2009-01048 | NC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, STE 601
CHARLOTTE, NC, 28203-5866
United States | CHARLOTTE, NC | 704-381-9900 |
1001 BLYTHE BLVD, STE 500
CHARLOTTE, NC, 28203-5866
United States | CHARLOTTE, NC | 704-373-1813 |
100 MEDICAL PARK DR, STE 310
CONCORD, NC, 28025-2948
United States | CONCORD, NC | 704-403-2660 |
4501 CAMERON VALLEY PKWY, STE 300
CHARLOTTE, NC, 28211-4297
United States | CHARLOTTE, NC | 704-381-1410 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | kbuckley485182@CarolinasHealthcareSystem.direct-ci.com
| |
|
| 1001 Blythe Blvd, Medical Center Plaza, Suite 200
Charlotte, NC, 28203-5866
United States |
CONNECT
(CONNECT URL) | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2 | | OTHER
Other
CMS esMD eMDR |
| 100 N 6th St Ste 900A,
Minneapolis, MN, 55403-1516
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1001 Blythe Blvd, Medical Center Plaza Suite 200
Charlotte, NC, 28203-5866
United States |
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| Phone Number : | 704-381-8840 |
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Business Location:
Patients can refer following map for directions to
Kevin Stuart Buckley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.