DR. SCOTT BUCKLEY (NPI# 1780612929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780612929 |
| Entity Type | Individual |
| Full Name | DR. SCOTT BUCKLEY |
| Credential | D.C. |
| Practice Address |
4019 Halifax Rd Ste E South Boston VA 24592-4821 |
| Mailing Address |
441 Piney Forest Rd Suite G Danville VA 24540-4154 |
| Practice Telephone | 4345729210 |
| Practice Fax Number | 4345724272 |
| Mailing Telephone | 4347930700 |
| Mailing Fax Number | 4347939315 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104555720 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 00030012 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639588130 | Scott Buckley | Psychologist | 1545 Huy Rd, Columbus Hearing Impaired Program, Columbus, OH 43224-3531 | 2014-08-08 |
| Street Address |
4019 HALIFAX RD STE E |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790906808 | Thomas E Pierce | Chiropractor | 746 East Broadway, South Boston, MA 02127 | 2007-05-02 |
| 1790812352 | Thomas A. Fagan | Chiropractor | 75 Dorchester St, South Boston, MA 02127-2228 | 2007-02-28 |
| 1366613044 | Dorothy A. Fensterer, D.c., P.C. | Chiropractor | 103 Main St, South Boston, VA 24592-4623 | 2008-03-20 |
| 1093877474 | Degraw Chiropractic Center, Inc | Chiropractor | 1993 Hamilton Blvd, Ste A, South Boston, VA 24592-2146 | 2006-12-14 |
| 1003879602 | Dale Francisco Williams | Chiropractor | 1993 Hamilton Blvd, Ste A, South Boston, VA 24592-2146 | 2006-04-07 |
| 1881672467 | Dorothy A. Fensterer | Chiropractor | 1993 Hamilton Blvd, Suite A, South Boston, VA 24592-2146 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494950 | Advanced Chiropractic & Sports Rehabilitation | Chiropractor | 22611 Markey Ct Ste 105, Sterling, VA 20166-6925 | 2020-10-12 |
| 1588261960 | Jacob Chernichky | Chiropractor | 1585 Roanoke Rd, Daleville, VA 24083-2914 | 2020-10-08 |
| 1740887421 | Robyn Victoria Kirby | Chiropractor | 1762 Tyler Rd, Christiansburg, VA 24073-6154 | 2020-10-05 |
| 1053928820 | Movement Methods Chiropractic | Chiropractor | 1276 N Wayne St Apt 617, Arlington, VA 22201-5852 | 2020-09-25 |
| 1265047393 | The Adjustment, Pllc | Chiropractor | 10130 Colvin Run Rd Ste C, Great Falls, VA 22066-1839 | 2020-09-15 |
| 1548874043 | Anam Malik | Chiropractor | 610 Truman Cir Sw, Vienna, VA 22180-6422 | 2020-09-02 |
| 1861006322 | Amato Chiropractic and Rehabilitation Clinic Waynesboro PC | Chiropractor | 2556 Jefferson Hwy Ste 104, Waynesboro, VA 22980-6555 | 2020-09-02 |
| 1114539038 | Jamie Paquette | Chiropractor | 4808 Courthouse St Ste 202, Williamsburg, VA 23188-2684 | 2020-08-21 |
| 1386254084 | Jamie L Sullivan | Chiropractor | 4532 Bonney Rd Ste D, Virginia Beach, VA 23462-3870 | 2020-08-06 |
| 1427674233 | Merrifield Family Chiropractic LLC | Chiropractor | 2750 Prosperity Ave Ste 120, Fairfax, VA 22031-4336 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on DR. SCOTT BUCKLEY.
| 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.