JOHN JOSEPH BUCKLEY JR. (NPI# 1114918133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114918133 |
| Entity Type | Individual |
| Full Name | JOHN JOSEPH BUCKLEY JR. |
| Credential | M.D. |
| Practice Address |
935 Trailwood Dr Boardman OH 44512-5062 |
| Mailing Address |
33 Wildfern Dr Youngstown OH 44505-1661 |
| Practice Telephone | 3307588146 |
| Practice Fax Number | 3307581399 |
| Mailing Telephone | 3307592048 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 3504815113 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0631169 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| 1740408046 | John Edwin Buckley | Hearing Instrument Specialist | 1 Woodbridge Ctr Ste 211, Woodbridge, NJ 07095-1159 | 2007-04-23 |
| 1912060179 | John William Buckley Jr. | Psychiatry & Neurology | 5220 Long Green Rd, Glen Arm, MD 21057-9716 | 2006-12-19 |
| 1073673950 | John Matthew Buckley | Registered Nurse | 735 19th Ave, Lake Como, NJ 07719-2902 | 2006-12-11 |
| 1205942745 | John Edward Buckley | Internal Medicine | 51 West 84th Ave, Suite 210, Denver, CO 80260-4882 | 2006-08-21 |
| 1578006540 | John J Buckley | Physician Assistant | 123 Summer St, 7350, Worcester, MA 01608-1216 | 2016-11-23 |
| 1992121255 | John Buckley | Counselor | 3540 W Douglas Ave, Wichita, KS 67203-5455 | 2014-03-11 |
| 1275882177 | John Buckley | Social Worker | 3355 Bee Cave Rd, Suite 507, West Lake Hills, TX 78746-6775 | 2012-09-06 |
| 1841320645 | John J Buckley | Counselor | 600 Spring Hill Ring Rd, Suite 108, West Dundee, IL 60118-7300 | 2007-03-07 |
| 1497804017 | John D Buckley | Nurse Anesthetist, Certified Registered | 2131 S 17th St, Wilmington, NC 28401-7407 | 2007-01-10 |
| Street Address |
935 TRAILWOOD DR |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831356419 | Stephen M Begezda Dds Msd Inc | Dentist | 935 Trailwood Dr, Boardman, OH 44512-5062 | 2008-05-21 |
| 1922265503 | Stephen Michael Begezda | Dentist | 935 Trailwood Dr, Boardman, OH 44512-5062 | 2008-05-21 |
| 1396890141 | Julianne Demartino, M.d., LLC | Obstetrics & Gynecology | 935 Trailwood Dr, Suite A, Boardman, OH 44512-5062 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982149647 | Kymberli Dawn Erevia | Specialist | 104 S. W. Kinkade Road, Boardman, OR 97818 | 2017-01-04 |
| 1861891517 | Elliott Brodzinski | Specialist | 5111 Market St Ste 1, Boardman, OH 44512-2141 | 2014-08-19 |
| 1457559163 | Allied Pain Treatment Center | Specialist | 950 Windham Court, Suite 1, Boardman, OH 44512 | 2007-07-03 |
| 1356317218 | Uma C Perni | Specialist | 7067 Tiffany, Suite 220, Boardman, OH 44514 | 2006-02-28 |
| 1720078298 | John S Venglarcik | Specialist | 819 Mckay Ct Ste B3, Boardman, OH 44512-5771 | 2005-10-26 |
| 1215923115 | John Raymond Bernat | Specialist | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 | 2005-09-26 |
| 1114920204 | James Armile | Specialist | 8262 South Ave, Boardman, OH 44512-6415 | 2005-05-23 |
| 1679996284 | Douglas Schneider | Specialist | 100 Debartolo Pl Ste 220, Boardman, OH 44512-6095 | 2014-02-03 |
| 1457598898 | Pinnacle Health Concepts, LLC | Specialist | 1280 Boardman Canfield Rd, Ste 6, Boardman, OH 44512-4073 | 2009-01-07 |
| 1891825535 | Pinnacle Health Concepts, LLC | Specialist | 755 Boardman Canfield Rd, Bldg F, Unit 2, Boardman, OH 44512-4300 | 2007-03-06 |
| Find all providers in BOARDMAN | ||||
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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.