DR. RICHARD KYLE BUCHMAN (NPI# 1639457807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639457807 |
| Entity Type | Individual |
| Full Name | DR. RICHARD KYLE BUCHMAN |
| Credential | M.D. |
| Practice Address |
405 Rushing Dr Herrin IL 62948-3730 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 6189933300 |
| Practice Fax Number | 6189930262 |
| Mailing Telephone | 6184575200 |
| Mailing Fax Number | 6185290586 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036.136186 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036.136186 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 98 Peach Ridge Rd, Anna, IL 629062243 | 6186141400 | 6186141401 |
| 404 Lincoln Dr, Herrin, IL 629483789 | 6189970166 | 6189988791 |
| Street Address |
405 RUSHING DR |
| City | HERRIN |
| State | IL |
| Zip Code | 62948-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821102849 | Mark J Korte | Family Medicine | 405 Rushing Dr, Herrin, IL 62948-3730 | 2006-08-18 |
| 1932722196 | Kelli Jo Kirkpatrick | Nurse Practitioner | 405 Rushing Dr, Herrin, IL 62948-3730 | 2020-05-22 |
| 1538722202 | Kathy Sue Devous | Nurse Practitioner | 405 Rushing Dr, Herrin, IL 62948-3730 | 2019-04-18 |
| 1093227613 | Lenora Ann Levin | Social Worker | 405 Rushing Dr, Herrin, IL 62948-3730 | 2017-11-05 |
| 1003334459 | Whitney Mcguire | Nurse Practitioner | 405 Rushing Dr, Herrin, IL 62948-3730 | 2017-09-06 |
| 1619412475 | Jessica Lohman | Nurse Practitioner | 405 Rushing Dr, Herrin, IL 62948-3730 | 2017-01-03 |
| 1770032948 | Austin Michael Stallings | Physician Assistant | 405 Rushing Dr, Herrin, IL 62948-3730 | 2016-09-28 |
| 1649611252 | Charli Walter Leroy Smith Jr. | Family Medicine | 405 Rushing Dr, Herrin, IL 62948-3730 | 2013-07-11 |
| 1750632691 | Rachel L Terrill | Physician Assistant | 405 Rushing Dr, Herrin, IL 62948-3730 | 2012-10-01 |
| 1255681557 | Kallie M French | Physician Assistant | 405 Rushing Dr, Herrin, IL 62948-3730 | 2012-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1144395633 | A Pramote Md Sc | Internal Medicine | 404 Lincoln Drive, Herrin, IL 62948 | 2006-11-21 |
| 1548263668 | Javier Muniz | Internal Medicine | 315 S 13th St, Ste 2, Herrin, IL 62948-3619 | 2005-05-23 |
| 1255782082 | Tsahi Samra | Internal Medicine | 201 S 14th St, Herrin, IL 62948-3631 | 2016-06-22 |
| 1538519046 | Basmah Naser Jilani | Internal Medicine | 201 S 14th St, Herrin, IL 62948 | 2016-06-15 |
| 1104225713 | Jyothsna Dasarathula | Internal Medicine | 201 S 14th St, Herrin, IL 62948-3631 | 2014-08-19 |
| 1730507443 | Thierry N Ngansop | Internal Medicine | 201 S 14th St, Herrin, IL 62948-3631 | 2014-03-31 |
| 1134561178 | Marie Jo-ann Beltran Cabanting | Internal Medicine | 201 S 14th St, Herrin, IL 62948-3631 | 2013-07-18 |
| 1134474471 | Abhish Koirala | Internal Medicine | 201 S 14th St, Herrin, IL 62948-3631 | 2012-07-23 |
| 1245548536 | Swarna Matsa | Internal Medicine | 201 S 14th St, Herrin, IL 62948 | 2010-09-20 |
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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.