JOHN J. BUCKLEY SR. (NPI# 1639146723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639146723 |
| Entity Type | Individual |
| Full Name | JOHN J. BUCKLEY SR. |
| Credential | M.D. |
| Practice Address |
935 Trailwood Dr Suite C Youngstown OH 44512-5062 |
| Mailing Address |
935 Trailwood Dr Youngstown OH 44512-5062 |
| Practice Telephone | 3307588146 |
| Practice Fax Number | 3307581399 |
| Mailing Telephone | 3307588146 |
| Mailing Fax Number | 3307581399 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2008-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35-02-3518-B | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0033243 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| 1740408046 | John Edwin Buckley | Hearing Instrument Specialist | 1 Woodbridge Ctr Ste 211, Woodbridge, NJ 07095-1159 | 2007-04-23 |
| 1912060179 | John William Buckley Jr. | Psychiatry & Neurology | 5220 Long Green Rd, Glen Arm, MD 21057-9716 | 2006-12-19 |
| 1073673950 | John Matthew Buckley | Registered Nurse | 735 19th Ave, Lake Como, NJ 07719-2902 | 2006-12-11 |
| 1205942745 | John Edward Buckley | Internal Medicine | 51 West 84th Ave, Suite 210, Denver, CO 80260-4882 | 2006-08-21 |
| 1114918133 | John Joseph Buckley Jr. | Specialist | 935 Trailwood Dr, Boardman, OH 44512-5062 | 2005-10-31 |
| 1578006540 | John J Buckley | Physician Assistant | 123 Summer St, 7350, Worcester, MA 01608-1216 | 2016-11-23 |
| 1992121255 | John Buckley | Counselor | 3540 W Douglas Ave, Wichita, KS 67203-5455 | 2014-03-11 |
| 1275882177 | John Buckley | Social Worker | 3355 Bee Cave Rd, Suite 507, West Lake Hills, TX 78746-6775 | 2012-09-06 |
| 1841320645 | John J Buckley | Counselor | 600 Spring Hill Ring Rd, Suite 108, West Dundee, IL 60118-7300 | 2007-03-07 |
| Street Address |
935 TRAILWOOD DR SUITE C |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44512-5062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578998035 | Terri Mccaughtry | Nurse Practitioner | 935 Trailwood Dr, Youngstown, OH 44512-5062 | 2013-09-03 |
| 1336584564 | Anthony P. Koulianos Md Inc | Obstetrics & Gynecology | 935 Trailwood Dr, Suite A, Youngstown, OH 44512-5062 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457612525 | Melissa M. Ruta | Specialist | 461 Riverview Dr., Youngstown, NY 14174 | 2012-06-05 |
| 1093986648 | James M Daley | Specialist | 17 N Champion St, Youngstown, OH 44503-1602 | 2008-03-21 |
| 1437177979 | Joel S Enriquez | Specialist | 5500 Market St Ste 119, Youngstown, OH 44512-2616 | 2006-07-17 |
| 1124080239 | Giovanna Vinci-khoury | Specialist | 4970 Belmont Ave, Youngstown, OH 44505 | 2006-04-04 |
| 1467420919 | Anil Choudary Nalluri | Specialist | 5500 Market St, Suite 128, Youngstown, OH 44512-2601 | 2006-03-10 |
| 1215916069 | James Phillip D'apolito | Specialist | 4531 Belmont Ave, Youngstown, OH 44505-1051 | 2006-01-11 |
| 1346234044 | Associates In Anesthesiology, Inc | Specialist | 3622 Belmont Ave, Suite 1, Youngstown, OH 44505-1450 | 2005-09-08 |
| 1205838497 | Pediatric Imaging Associates, LLC | Specialist | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2005-06-01 |
| 1568464857 | Michael J Miladore | Specialist | 1335 Belmont Ave, Youngstown, OH 44504-1185 | 2005-06-01 |
| 1285637918 | Chander M. Kohli M.d., Inc. | Specialist | 540 Parmalee Ave, Ste 310, Youngstown, OH 44510-1605 | 2005-05-27 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
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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.