DR. STEPHEN LESLIE BUCKLEY (NPI# 1396794681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396794681 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN LESLIE BUCKLEY |
| Credential | M.D. |
| Practice Address |
1301 Palm Ave Jacksonville FL 32207-8432 |
| Mailing Address |
Po Box 45278 Jacksonville FL 32232-5278 |
| Practice Telephone | 9042027300 |
| Practice Fax Number | 9042027433 |
| Mailing Telephone | 9042022092 |
| Mailing Fax Number | 9043937603 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2019-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
ME68241 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 258772600 | 05 | |
| GA | 146316572D | 05 | |
| FL | RR MEDICARE | P01265837 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942211255 | Stephen W Buckley | Psychologist | 1 Executive Blvd, Suite #109, Montebello, NY 10901-4180 | 2006-08-11 |
| 1740283126 | Stephen E Buckley | Internal Medicine | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 | 2005-05-31 |
| Street Address |
1301 PALM AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134112261 | Russell B Smith | Otolaryngology | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2005-08-24 |
| 1669096897 | Kimberly Nguyen Blythe | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2020-06-03 |
| 1609409945 | Emma Kate Alpert | Physician Assistant | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2020-02-14 |
| 1053964403 | Caitlyn Mitchell | Genetic Counselor, MS | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2019-07-24 |
| 1972167740 | Jessica C Terrell | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2019-04-27 |
| 1689135998 | Ghazal S Vafabakhsh | Physician Assistant | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2019-03-28 |
| 1710456215 | Jacquelene Marie Carson | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2018-11-14 |
| 1770059008 | Leslie Shannan Weaver | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2018-10-14 |
| 1659852325 | Patrick Alan Regis | Nurse Practitioner | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2018-08-22 |
| 1568941276 | Baptist-southeast Gynecologic Oncology Associates Inc | Internal Medicine | 1301 Palm Ave, Jacksonville, FL 32207 | 2018-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527132 | Sarah Sowinski | Obstetrics & Gynecology | 4203 Belfort Rd Ste 204, Jacksonville, FL 32216-1463 | 2020-10-28 |
| 1083153365 | Baptist-southeast Gynecologic Oncology Associates Inc | Obstetrics & Gynecology | 14540 Old Saint Augustine Rd, Suite 2593, Jacksonville, FL 32258-7418 | 2017-02-20 |
| 1639438088 | Isidore Daniel Benrubi | Obstetrics & Gynecology | 655 W 8th St, Jacksonville, FL 32209-6511 | 2012-05-04 |
| 1811105372 | Jenny Whitworth | Obstetrics & Gynecology | 1301 Palm Ave, Jacksonville, FL 32207-8432 | 2007-05-18 |
| 1619986932 | Tri Dinh | Obstetrics & Gynecology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2006-08-05 |
| 1689622284 | Matthew W Robertson IIi | Obstetrics & Gynecology | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2006-05-05 |
| 1417905993 | Southeast Gynecologic Oncology Associates Pa | Obstetrics & Gynecology | 915 W Monroe St, #300, Jacksonville, FL 32204-1149 | 2006-05-05 |
| 1962495036 | Karl H.s. Smith | Obstetrics & Gynecology | 655 W 8th St, University of Florida Center for Women, Jacksonville, FL 32209-6511 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1851738793 | Christopher De Haydu | Obstetrics & Gynecology | 1121 Nw 14th St Dept Gyn, Miami, FL 33136-2106 | 2013-06-02 |
| 1811330897 | Maria Paula Ruiz | Obstetrics & Gynecology | 6400 W Newberry Rd Ste 103, Gainesville, FL 32605-4384 | 2013-04-09 |
| 1992005086 | Jocelyn Garcia-sayre | Obstetrics & Gynecology | 5000 University Dr Ste 3300, Coral Gables, FL 33146-2008 | 2010-10-24 |
| 1063641827 | Kenneth Daniel Webster | Obstetrics & Gynecology | 3825 Sw 86th St., Gainesville, FL 32608-7901 | 2009-07-14 |
| 1942444526 | Mostafa A Selim | Obstetrics & Gynecology | 338 Wellington Dr., Palm Coast, FL 32164 | 2009-04-27 |
| 1063670255 | Women's Choice Oncology, Pllc | Obstetrics & Gynecology | 3425 University Parkway Unit 102, Sarasota, FL 34243 | 2008-05-25 |
| 1912197641 | Gyn Oncology Associates Pl | Obstetrics & Gynecology | 2617 Mitcham Dr Ste 101, Tallahassee, FL 32308-5479 | 2007-07-30 |
| 1336368547 | Stacey Ann South | Obstetrics & Gynecology | 3425 University Pkwy Unit 102, Sarasota, FL 34243-4271 | 2007-04-25 |
| 1982766044 | Philip Townsend Md Pa | Obstetrics & Gynecology | 675 Harvard St, Brooksville, FL 34601-2823 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.