Kevin Stuart Buckley

MD | Pediatrics | Male

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Complete Profile:

Kevin Stuart Buckley basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Kevin Stuart Buckley
Credential :	MD
Gender :	Male

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
Phone Number :

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
NPI Entity Type :	Individual
First Enrolment Date :	23 Aug, 2006
Last Updated On :	04 May, 2023

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
Medicare Enrollment ID :	I20091027000525
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1999
Accepts Medicare?	Yes. Kevin Stuart Buckley accepts medicare insurance.

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).

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
Phone Number :	704-381-8840

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.