DEMETRIA BUCKNER


Address: 5901 Walsham Way, Indianapolis, IN 46254-2327
Phone: 3175097674

DEMETRIA BUCKNER (NPI# 1346581949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346581949
Entity Type Individual
Full Name DEMETRIA BUCKNER
Credential BS HEALTH SCIENCES
Practice Address 5901 Walsham Way
Indianapolis
IN 46254-2327
Mailing Address Po Box 531338
Indianapolis
IN 46253-1338
Practice Telephone 3175097674
Mailing Telephone 3175097674
Enumeration Date 2013-03-06
Last Update Date 2013-03-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
Technologists, Technicians & Other Technical Service Providers
N 172V00000X Community Health Worker Other Service Providers
N 174H00000X Health Educator Other Service Providers

Office Location

Street Address 5901 WALSHAM WAY
City INDIANAPOLIS
State IN
Zip Code 46254-2327

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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750791786 Trinette Clark Technician, Pathology 3246 Orchard Ave, Indianapolis, IN 46218-1937 2014-04-29
1184913477 Anastacio S Meza Technician, Pathology 8433 Harrion Dr, Indianapolis, IN 46226-2034 2011-04-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255939419 Milcah Robinson Technician, Pathology 6091 Lute Rd Apt 103, Portage, IN 46368-5021 2020-10-11
1679194674 Brandi Yancey Technician, Pathology 11807 Allisonville Rd # 627, Fishers, IN 46038-2313 2020-04-30
1124457791 Shonta Edmond Technician, Pathology 333 E 60th Dr, Merrillville, IN 46410-3011 2013-11-05
1386281426 Autumn Marie Murphy Technician, Pathology 1100 W 6th Ave, Gary, IN 46402-1711 2019-12-09
1811441470 Christy Dawn Marshall Technician, Pathology 421 Walnut St, Madison, IN 47250-3565 2016-08-11
1790144947 Good Samaritan Hospital Technician, Pathology 615 Dubois St, Vincennes, IN 47591-1048 2016-02-16
1376900985 Good Samaritan Hospital Technician, Pathology 510 W 11th St, Bicknell, IN 47512-9626 2016-01-27

Competitor

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City INDIANAPOLIS
Zip Code 46254

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Dataset Information

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.

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