WADE D BUCKLEY (NPI# 1073880076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073880076 |
| Entity Type | Individual |
| Full Name | WADE D BUCKLEY |
| Credential | PA |
| Practice Address |
222 Boston Tpke Shrewsbury MA 01545-5224 |
| Mailing Address |
241 Crescent St # 3205 Waltham MA 02453-3414 |
| Practice Telephone | 5085952700 |
| Mailing Telephone | 5085952700 |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2014-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
222 BOSTON TPKE |
| City | SHREWSBURY |
| State | MA |
| Zip Code | 01545-5224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790868412 | Allan Philip Kuong | Emergency Medicine | 222 Boston Tpke, Shrewsbury, MA 01545-5224 | 2006-10-24 |
| 1386154680 | Ashley Elizabeth Fuller | Nurse Practitioner | 222 Boston Tpke, Shrewsbury, MA 01545 | 2017-10-02 |
| 1710382874 | Nancy Shaffer | Nurse Practitioner | 222 Boston Tpke, #224, Shrewsbury, MA 01545-5224 | 2014-10-30 |
| 1689976292 | Erin J. Justus | Nurse Practitioner | 222 Boston Tpke, Route 9, Shrewsbury, MA 01545-5224 | 2010-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252716 | Kerri Mccarty | Pharmacist | 539-571 Boston Turnpike, Shrewsbury, MA 01545 | 2018-10-29 |
| 1710469127 | Emily Graves | Speech-Language Pathologist | 15 Fox Hill Road, Shrewsbury, MA 01545 | 2018-08-31 |
| 1558847780 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 720 Boston Tpke, Shrewsbury, MA 01545 | 2018-07-11 |
| 1023547718 | Anya Wolfe | Dentist | 193 Boston Tpke, Shrewsbury, MA 01545 | 2017-06-07 |
| 1992110506 | Careplus Transports LLC | Private Vehicle | 719 Grafton Street, Shrewsbury, MA 01545 | 2014-06-23 |
| 1699106328 | Marcienne Tallis Richardson | Registered Nurse | 415 Boston Turnpike, Shrewsbury, MA 01545 | 2013-12-05 |
| 1043555873 | Magdalena Barbara Farrell | Community Health Worker | 215 Lake St, Shrewsbury, MA 01545 | 2012-12-05 |
| 1639454507 | Amy Folta | Pharmacist | 225 Boston Trpk Road, Walgreens, Shrewsbury, MA 01545 | 2011-10-11 |
| 1205117710 | Shrewsbury Dental | Home Health | 16a Harrington Ave., Shrewsbury, MA 01545 | 2011-08-30 |
| 1639401334 | Shawn Fuller | Dentist | 193 Boston Tpke Ste 6140, Shrewsbury, MA 01545 | 2010-02-04 |
| Find all providers in zip 01545 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634720 | Kristen Ann Kotsopoulos | Physician Assistant | 3 Timari Dr, Shrewsbury, MA 01545-5658 | 2020-09-18 |
| 1285252064 | Mia L Andresen | Physician Assistant | 6 Birch Brush Rd, Shrewsbury, MA 01545-1696 | 2020-07-08 |
| 1215556113 | Erica Nader | Physician Assistant | 158 Old Mill Rd, Shrewsbury, MA 01545-2238 | 2020-04-10 |
| 1467053322 | Jenna Kimmerle | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2020-11-05 |
| 1205460177 | Caroline Moore | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2020-02-28 |
| 1831754670 | Erin Michelle Gutkind | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2019-05-07 |
| 1730660747 | Zaneta Pabon | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2018-08-27 |
| 1316433915 | Johanna Sofia Sites | Physician Assistant | 89 E Forrest Ave, Shrewsbury, PA 17361-1402 | 2018-07-06 |
| 1568909000 | Jennifer Rey | Physician Assistant | 535 Sycamore Ave, Shrewsbury, NJ 07702-4224 | 2017-01-23 |
| 1861868549 | Patrick John Mcginn | Physician Assistant | 170 Avenue At The Cmn, Suite 6, Shrewsbury, NJ 07702 | 2015-08-17 |
| Find all providers in SHREWSBURY | ||||
| City | SHREWSBURY |
| Zip Code | 01545 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.