DR. KEITH L. BUESCHER (NPI# 1841242450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841242450 |
| Entity Type | Individual |
| Full Name | DR. KEITH L. BUESCHER |
| Credential | PH.D. |
| Practice Address |
2921 Greenbriar Dr Suite B-1 Springfield IL 62704-6425 |
| Practice Telephone | 2175463118 |
| Practice Fax Number | 2175463184 |
| Mailing Telephone | 2175463118 |
| Mailing Fax Number | 2175463184 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | VALUE OPTIONS | 160279 (MHS) | 01 |
| IL | AETNA | 5605298 | 01 |
| IL | HEALTH ALLIANCE | 064594 | 01 |
| IL | HEALTHLINK | 282605 | 01 |
| Street Address |
2921 GREENBRIAR DR SUITE B-1 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-6425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225024136 | Patricia Reichart | Nurse Practitioner | 2921 Greenbriar Dr, Ste C, Springfield, IL 62704 | 2005-09-26 |
| 1194128389 | Cheryl Lee Affrunti | Psychologist | 2921 Greenbriar Dr, Ste. B-1, Springfield, IL 62704-6421 | 2014-10-01 |
| 1396084653 | Kristen Lyn Wade | Physical Therapist | 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 | 2013-02-06 |
| 1639447295 | Darrell B Simmermaker | Physical Therapy Assistant | 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 | 2011-12-09 |
| 1386923043 | Laurie Ann Salvacion | Physical Therapist | 2921 Greenbriar Dr, Suite B, Springfield, IL 62704-6421 | 2011-08-12 |
| 1235421603 | Craig A Backs Md LLC | Internal Medicine | 2921 Greenbriar Dr, Suite C, Springfield, IL 62704-6421 | 2011-05-04 |
| 1629200548 | Bradley M. Blevins | Physical Therapy Assistant | 2921 Greenbriar Dr, Suite B-2, Springfield, IL 62704-6421 | 2009-08-11 |
| 1801957055 | Physiotherapy Professionals LLC | Physical Therapist | 2921 Greenbriar Dr, Suite B-2, Springfield, IL 62704-6421 | 2006-12-12 |
| 1124043252 | Craig A Backs | Internal Medicine | 2921 Greenbriar Dr, Springfield, IL 62704-6421 | 2006-07-12 |
| 1548212145 | Richard E Dimond | Psychologist | 2921 Greenbriar Dr, Suite B-1, Springfield, IL 62704-6425 | 2006-05-16 |
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| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1043660905 | Safe Harbor Christian Counseling of Northern Virginia LLC | Psychologist | 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 | 2016-06-21 |
| 1659786432 | Kimberly Wilkins Psyd LLC | Psychologist | 1344 W Oakville Rd, Springfield, MO 65810-1696 | 2014-06-30 |
| 1548507817 | Bahn and Associates | Psychologist | 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 | 2013-01-07 |
| 1396004990 | Cultivate Psychological Services LLC | Psychologist | 1439 S Rogers Ave, Springfield, MO 65804-1129 | 2012-05-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on DR. KEITH L. BUESCHER.
| 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.