ELIZABETH ANNE BUCKSHAW (NPI# 1255858122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255858122 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANNE BUCKSHAW |
| Credential | PA-C |
| Practice Address |
808 S 5th Ave Denton MD 21629-1398 |
| Practice Telephone | 4104792650 |
| Practice Fax Number | 8339082283 |
| Mailing Telephone | 1047926504 |
| Mailing Fax Number | 8339082283 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0006629 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
808 S 5TH AVE |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023008000 | Lisa Diane Urban | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2005-10-21 |
| 1750918447 | Sarah Lindsay Czyz | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1720615487 | Carrie Arvonda Secrist Simpler | Dental Hygienist | 808 S 5th Ave, Denton, MD 21629-1398 | 2020-03-24 |
| 1619524477 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-26 |
| 1073160305 | Choptank Community Health System Inc | Clinic/Center | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-21 |
| 1336794155 | Vanessa Marie Moore | Dentist | 808 S 5th Ave, Denton, MD 21629-1398 | 2019-08-08 |
| 1962932897 | Cameron Moore | Family Medicine | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-06-13 |
| 1164953790 | Adeline Lee Melvin | Pediatrics | 808 S 5th Ave, Denton, MD 21629-1398 | 2017-03-24 |
| 1407263072 | John Matthews Eglseder II | Physician Assistant | 808 S 5th Ave, Denton, MD 21629-1398 | 2014-07-16 |
| 1801229133 | Megan Wojtko | Nurse Practitioner | 808 S 5th Ave, Denton, MD 21629-1398 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| 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 |
|---|---|---|---|---|
| 1437705852 | Leticia Pilar | Physician Assistant | 2617 Scripture St Ste 102, Denton, TX 76201-2398 | 2019-08-12 |
| 1144798570 | Mark David Pedigo | Physician Assistant | 2900 N I 35 Ste 301, Denton, TX 76201-5146 | 2018-11-03 |
| 1093171704 | Makenzie Boen | Physician Assistant | 2520 W University Dr Ste 1154, Denton, TX 76201-1616 | 2016-01-11 |
| 1518361054 | Stacy Smathers | Physician Assistant | 2000 Emery Street, Denton, TX 76201-2401 | 2014-10-13 |
| 1346587854 | Hatshepsut Mboluji Oshun | Physician Assistant | 2412 Old North Rd Ste 101, Denton, TX 76209-1524 | 2013-01-04 |
| 1427326198 | Patrice M Simon | Physician Assistant | 2509 Coffey Dr, Denton, TX 76207-1144 | 2011-12-08 |
| 1164714440 | Mary Winborn Pa-c, PC | Physician Assistant | 1314 Poinsettia Blvd, Denton, TX 76208-7551 | 2011-05-05 |
| 1184740086 | Tammy Lynn Dodds | Physician Assistant | 2501 Scripture St Ste 303, Denton, TX 76201-2314 | 2007-03-22 |
| 1639187156 | Loretta Dianne Mays | Physician Assistant | 400 N.loop 288, Suite 120, Denton, TX 76209 | 2006-08-03 |
| 1184620601 | Miroslawa Jolanta Giovi | Physician Assistant | 1219 Oakland Street, Texas Woman's University, Denton, TX 76204-5467 | 2005-06-21 |
| Find all providers in DENTON | ||||
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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.