DR. JUSTIN TODD BUCHANAN (NPI# 1689803355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689803355 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN TODD BUCHANAN |
| Credential | M.D. |
| Practice Address |
1924 Alcoa Hwy # U107 Knoxville TN 37920-1511 |
| Mailing Address |
527 N Palo Alto Ave Panama City FL 32401-3639 |
| Practice Telephone | 8653059661 |
| Practice Fax Number | 8653056148 |
| Mailing Telephone | 8507474905 |
| Mailing Fax Number | 8507474907 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2018-03007 | NC | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME126787 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
46689 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | IM424X | 01 |
| FL | MEDICARE PTAN | IM424Y | 01 |
| FL | BCBS | KZBPL | 01 |
| FL | MEDICARE PTAN | IM424Z | 01 |
| FL | 016743700 | 05 | |
| FL | RAILROAD MEDICARE | P01664307 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3990 E Us 64 Alt, Murphy, NC 289066843 | 4237787234 | 4237786261 |
| 527 N Palo Alto Ave, Panama City, FL 324013639 | 8507474905 | 8507474907 |
| 975 E 3rd St, Chattanooga, TN 374032147 | 4237787234 | 4237786261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144673302 | Justin Buchanan | Dentist | 101 4th Ave Ste D, Crestview, FL 32539-2401 | 2016-07-22 |
| 1053553016 | Justin Buchanan | Pharmacy Technician | 15 Commonwealth Ave, Woburn, MA 01801-5193 | 2009-04-06 |
| 1083693774 | Justin Daniel Buchanan | Dentist | Bldg 9900, 2nd Floor, U.S. Army Dental Activity - Ft Lewis, Tacoma, WA 98431-0001 | 2006-01-11 |
| Street Address |
1924 ALCOA HWY # U107 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447486113 | Bradley Robert Pollard | Radiology | 1924 Alcoa Hwy # U107, Knoxville, TN 37920-1511 | 2009-06-08 |
| 1528679313 | Madison Faith Heidel | Nurse Practitioner | 1924 Alcoa Hwy # U107, Knoxville, TN 37920-1511 | 2020-08-14 |
| 1972914356 | Robert Garth Eberly | Radiology | 1924 Alcoa Hwy # U107, Knoxville, TN 37920-1511 | 2014-05-19 |
| 1700296548 | Brady Cole Seaton | Radiology | 1924 Alcoa Hwy # U107, Knoxville, TN 37920-1511 | 2014-05-01 |
| 1609294339 | Jeffrey Newton Mahony | Radiology | 1924 Alcoa Hwy # U107, Knoxville, TN 37920-1511 | 2014-03-31 |
| 1194169144 | Phillip Don Clark | Radiology | 1924 Alcoa Hwy # U107, Knoxville, TN 37920-1511 | 2013-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336488782 | James Findlay Hudgens Jr. | Radiology | 6921 Alden Glen Way, Knoxville, TN 37919 | 2013-02-05 |
| 1104141613 | Scott Embry | Radiology | 2240 Sutherland Ave Ste 540, Knoxville, TN 37919-2333 | 2010-03-29 |
| 1447486113 | Bradley Robert Pollard | Radiology | 1924 Alcoa Hwy # U107, Knoxville, TN 37920-1511 | 2009-06-08 |
| 1013184241 | James Scott Schauberger | Radiology | 1112 E Weisgarber Road, Knoxville, TN 37909 | 2008-05-15 |
| 1841463627 | Steven Edward Repka | Radiology | Dept 888302, Knoxville, TN 37995-1661 | 2008-04-11 |
| 1265610604 | Philip A. Marino, M.d., P.C. | Radiology | 8870 Cedar Springs Ln, Knoxville, TN 37923-5407 | 2008-02-07 |
| 1003021783 | John Texada | Radiology | 4709 Papermill Dr Ste 201, Knoxville, TN 37909-1921 | 2007-05-14 |
| 1477675452 | Jason Deen | Radiology | 2001 Laurel Ave Ste 304, Knoxville, TN 37916-1834 | 2007-04-03 |
| 1831215318 | George Harden Wood | Radiology | 1000 Castlerock Ct, Knoxville, TN 37919-7221 | 2007-03-22 |
| 1386694040 | Peter P Piampiano | Radiology | 2240 Sutherland Ave Ste 107, Knoxville, TN 37919-2333 | 2006-05-11 |
| Find all providers in KNOXVILLE | ||||
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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.