DR. JERROLD M BUCKALOO (NPI# 1558466516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558466516 |
Entity Type | Individual |
Full Name | DR. JERROLD M BUCKALOO |
Credential | MD |
Practice Address |
1175 Cook Rd Suite 215 Orangeburg SC 29118-8201 |
Practice Telephone | 8033953837 |
Practice Fax Number | 8035365122 |
Mailing Telephone | 8033953837 |
Mailing Fax Number | 8035365122 |
Enumeration Date | 2006-09-14 |
Last Update Date | 2015-02-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
20903 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 209036 | 05 | |
SC | RAILROAD MEDICARE ID | P00401081 | 01 |
SC | RAILROAD MEDICARE ID-RSFPN | P00727280 | 01 |
Street Address |
1175 COOK RD SUITE 215 |
City | ORANGEBURG |
State | SC |
Zip Code | 29118-8201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982680336 | Julius W Babb IIi | Surgery | 1175 Cook Rd, Suite 320, Orangeburg, SC 29118-8201 | 2005-12-19 |
1912378290 | Tjuana Faith Durden Seidl | Physician Assistant | 1175 Cook Rd, Suite 225, Orangeburg, SC 29118-8201 | 2015-10-13 |
1497187744 | Lisa Gordon | Nurse Practitioner | 1175 Cook Rd, Suite 230, Orangeburg, SC 29118-8201 | 2013-08-08 |
1023457389 | The Regional Medical Center of Orangeburg and Calhoun Counties | Surgery | 1175 Cook Rd, Orangeburg, SC 29118-8201 | 2013-06-20 |
1740592476 | Drs. Williamson & Gillespie, Pa | Clinic/Center | 1175 Cook Rd, Suite 145, Orangeburg, SC 29118-8201 | 2010-07-10 |
1851527717 | Family Health Centers, Inc. At Cook Road | Specialist | 1175 Cook Rd, Medical Arts Center, Suite 305, Orangeburg, SC 29118-8201 | 2009-06-05 |
1164665428 | Kimberly Evonne Miller-hammond | Surgery | 1175 Cook Rd, Suite 320, Orangeburg, SC 29118-8201 | 2009-04-15 |
1164690012 | Internal Medicine & Infectious Diseases Specialists | Specialist | 1175 Cook Rd, Suite 115, Orangeburg, SC 29118-8201 | 2008-02-13 |
1669654448 | Jerome B Degen | Obstetrics & Gynecology | 1175 Cook Rd, Suite 305, Orangeburg, SC 29118-8201 | 2007-12-03 |
1518177807 | Orangeburg Oral Surgery & Implant Center | Dentist | 1175 Cook Rd, Ste 135, Orangeburg, SC 29118-8201 | 2007-05-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
Find all providers in zip 29118 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902070220 | Alan Gotesman | Orthopaedic Surgery | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2008-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538680004 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 300 Palmetto Health Pkwy Ste 200, Columbia, SC 29212-1762 | 2017-07-05 |
1255852901 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 100 Palmetto Health Pkwy Ste 320, Columbia, SC 29212-1756 | 2017-07-03 |
1295976967 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 8950 University Blvd., Ste 200, N Charleston, SC 29406 | 2009-03-10 |
1598906265 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr Ste 200e, Charleston, SC 29414-5742 | 2009-03-10 |
1992754865 | Seraphin John Millon | Orthopaedic Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2006-05-09 |
1619945540 | David B. Fulton | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2006-03-08 |
1104448208 | Anmed Health | Orthopaedic Surgery | 100 Healthy Way Ste 1200, Anderson, SC 29621-7916 | 2020-05-12 |
1346761897 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 14 Richland Medical Park Dr Ste 200, Columbia, SC 29203-6882 | 2017-07-05 |
1922529668 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 104 Saluda Pointe Dr, Lexington, SC 29072-7295 | 2017-07-03 |
1972054021 | Palmetto Health | Orthopaedic Surgery | 101 Business Park Blvd, 2nd Floor, Columbia, SC 29203-8401 | 2016-10-24 |
Find all providers with the same taxonomy |
City | ORANGEBURG |
Zip Code | 29118 |
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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.