REUBEN A BUENO JR.


Address: 747 N Rutledge St Fl 3, Springfield, IL 62702-6700
Phone: 2175458000

REUBEN A BUENO JR. (NPI# 1821066192) 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) 1821066192
Entity Type Individual
Full Name REUBEN A BUENO JR.
Credential M.D.
Practice Address 747 N Rutledge St Fl 3
Springfield
IL 62702-6700
Mailing Address Po Box 19653
Springfield
IL 62794-9653
Practice Telephone 2175458000
Practice Fax Number 2175452588
Mailing Telephone 2175458000
Mailing Fax Number 2175452588
Enumeration Date 2006-03-10
Last Update Date 2020-10-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208200000X Plastic Surgery 036-114808 IL Allopathic & Osteopathic Physicians
Y 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
036-114808 IL Allopathic & Osteopathic Physicians
N 2082S0105X Plastic Surgery
Specialization: Surgery of the Hand
036-114808 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036114808 05

Other Providers REUBEN BUENO

NPI Name Taxonomy Address Enumeration
1639279938 Reuben A Bueno Plastic Surgery 50 Irving St Nw, Washington, DC 20422-0001 2006-09-25

Office Location

Street Address 747 N RUTLEDGE ST FL 3
City SPRINGFIELD
State IL
Zip Code 62702-6700

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
Find all providers in zip 62702

Taxonomy Information

Taxonomy Code 2082S0099X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery
Specialization Plastic Surgery Within the Head and Neck

Taxonomy Definition

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457512618 David Thammadi Shashikant Plastic Surgery 1112 Jonathan Drive, Inverness, IL 60010 2008-06-20
1992985832 Gabriel O Mooney Plastic Surgery 1120 N Melvin St, Gibson City, IL 60936-1477 2007-11-08

Competitor

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City SPRINGFIELD
Zip Code 62702

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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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