OWEN DELOS BUCK (NPI# 1093871956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093871956 |
| Entity Type | Individual |
| Full Name | OWEN DELOS BUCK |
| Credential | MD |
| Practice Address |
230 Bartlett St Lewiston ME 04240-6578 |
| Practice Telephone | 2077834692 |
| Practice Fax Number | 2077834694 |
| Mailing Telephone | 2077834692 |
| Mailing Fax Number | 2077834694 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
MAINE 11724 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
230 BARTLETT ST |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841375672 | Melissa K. Dumont | Social Worker | 230 Bartlett St, Lewiston, ME 04240-6578 | 2006-10-27 |
| 1689921629 | Tri-county Mental Health Services | Clinic/Center | 230 Bartlett St, Lewiston, ME 04240-6578 | 2012-08-09 |
| 1003172578 | Cynthia K Bailey | Social Worker | 230 Bartlett St, Lewiston, ME 04240-6578 | 2012-04-09 |
| 1275841611 | Laurie J Cyr-martel | Counselor | 230 Bartlett St, Lewiston, ME 04240-6578 | 2010-09-20 |
| 1053471995 | Shane Sullivan Simpson | Social Worker | 230 Bartlett St, Lewiston, ME 04240-6578 | 2006-12-11 |
| 1679641468 | George Albert Normand | Counselor | 230 Bartlett St, Lewiston, ME 04240-6578 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770649642 | Colin S Pope | Medical Genetics | 93 Campus Ave, Lewiston, ME 04240-6030 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104976638 | Rosemarie Smith | Medical Genetics | 1577 Congress St, 2nd Floor, Portland, ME 04102-2169 | 2007-01-10 |
| 1730239153 | Wendy E Smith | Medical Genetics | 1577 Congress St, 2nd Floor, Portland, ME 04102-2169 | 2007-01-10 |
Please comment or provide details below to improve the information on OWEN DELOS BUCK.
| 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.