DR. CARROLL DENNIS BUCKO (NPI# 1386716421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386716421 |
| Entity Type | Individual |
| Full Name | DR. CARROLL DENNIS BUCKO |
| Credential | M. D |
| Practice Address |
9900 Genesee Ave Ste B La Jolla CA 92037-1210 |
| Practice Telephone | 8584538484 |
| Practice Fax Number | 8584533284 |
| Mailing Telephone | 8584538484 |
| Mailing Fax Number | 8584533284 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G44143 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
9900 GENESEE AVE STE B |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225548175 | Erin Justine Hewitt | Plastic Surgery | 9850 Genesee Ave Ste 380, La Jolla, CA 92037-1212 | 2017-10-05 |
| 1396265039 | Sheldon Lerner | Plastic Surgery | 5780 Caminito Norte, La Jolla, CA 92037-7227 | 2017-06-23 |
| 1467571448 | Stephen M Krant | Plastic Surgery | 528 Nautilus St, La Jolla, CA 92037-6138 | 2007-03-28 |
| 1710034467 | Michael J Brucker | Plastic Surgery | 9850 Genesee Ave Ste 500, La Jolla, CA 92037-1213 | 2007-01-04 |
| 1548328636 | William Montgomery Flynn | Plastic Surgery | 9850 Genesee Ave # 480, La Jolla, CA 92037 | 2006-12-04 |
| 1255406583 | Jeffrey Andrew Umansky | Plastic Surgery | 4150 Regents Park Row 260, La Jolla, CA 92037 | 2006-11-21 |
| 1366537904 | John D. Smoot | Plastic Surgery | 9850 Genesee Avenue, Suite 130, La Jolla, CA 92037 | 2006-10-03 |
| 1639271505 | Richard A.k. Chaffoo | Plastic Surgery | 9850 Genesee Ave Ste 480, La Jolla, CA 92037 | 2006-09-02 |
| 1235249665 | Scott Walter Barttelbort | Plastic Surgery | 9850 Genesee Ave Ste 730, La Jolla, CA 92037-1218 | 2006-08-30 |
| 1245254838 | Rajasekhar Nalluri | Plastic Surgery | 1110 Torrey Pines Rd Ste M, La Jolla, CA 92037-4547 | 2006-07-27 |
| Find all providers in LA JOLLA | ||||
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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.