DR. JERROLD M BUCKALOO


Address: 1175 Cook Rd, Suite 215, Orangeburg, SC 29118-8201
Phone: 8033953837

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
20903 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 209036 05
SC RAILROAD MEDICARE ID P00401081 01
SC RAILROAD MEDICARE ID-RSFPN P00727280 01

Office Location

Street Address 1175 COOK RD
SUITE 215
City ORANGEBURG
State SC
Zip Code 29118-8201

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902070220 Alan Gotesman Orthopaedic Surgery 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 2008-04-17

Providers in the same taxonomy and state

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
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Competitor

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City ORANGEBURG
Zip Code 29118

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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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