DR. RONALD L BUCKMAN (NPI# 1871561092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871561092 |
Entity Type | Individual |
Full Name | DR. RONALD L BUCKMAN |
Credential | M.D. |
Practice Address |
921 Boston Tpke Bolton CT 06043-7403 |
Practice Telephone | 8606460649 |
Practice Fax Number | 8606499195 |
Mailing Telephone | 8606460649 |
Mailing Fax Number | 8606499195 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2013-07-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 022901 | CT | Allopathic & Osteopathic Physicians |
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
022901 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | LICENSE | 022901 | 01 |
CT | 001229012 | 05 |
Street Address |
921 BOSTON TPKE |
City | BOLTON |
State | CT |
Zip Code | 06043-7403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669082830 | Andrea Lynn Delaire | Nurse Practitioner | 921 Boston Tpke, Bolton, CT 06043-7479 | 2020-08-03 |
1992132161 | Family Medicine Partership | Nurse Practitioner | 921 Boston Tpke, Ste A, Bolton, CT 06043-7403 | 2013-10-03 |
1104920065 | Piper P Lillard | Family Medicine | 921 Boston Tpke, Suite 2, Bolton, CT 06043-7403 | 2006-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508068313 | Randy H Lichtman | Dentist | 921 Boston Tpke., Bolton, CT 06043 | 2007-06-04 |
1881748739 | Ginger M Pollack Dmd PC | Dentist | 665 Boston Turnpike, Bolton, CT 06043 | 2007-01-22 |
1992888531 | Bruce Alan Langevin | Physical Therapist | 921 Boston Turnpike, Bolton, CT 06043 | 2006-10-24 |
1215036785 | Sandra Sherri Butler | Social Worker | 11 Rocco Rd, Bolton, CT 06043 | 2006-09-21 |
1265650188 | Bolton Physical Therapy & Sports Performance LLC | Clinic/Center | 921 Boston Turnpike, Bolton, CT 06043 | 2007-04-23 |
1306995725 | Family Medicine Partnership, PC | Nurse Practitioner | 921 Boston Turnpike, Bolton, CT 06043 | 2007-01-09 |
1710251798 | Ginger Michelle Pollack | Dentist | 665 Boston Tpke, Bolton, CT 06043-7401 | 2012-03-08 |
1780781070 | Bolton Pharmacy Inc | Pharmacy | 667 Boston Tpke, Bolton, CT 06043-7401 | 2006-09-20 |
1487039608 | Sarah Zalewski | Counselor | 1020 Boston Tpke, Bolton, CT 06043-7406 | 2015-07-29 |
1427194539 | Bolton Board of Education | Local Education Agency (LEA) | 108 Notch Rd, Bolton, CT 06043-7431 | 2007-01-29 |
Find all providers in zip 06043 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881836559 | Nauman Jameel Mufti | Family Medicine | 2 Bridgewater Rd, Suite 100, Farmington, CT 06032-2269 | 2009-03-27 |
1194104224 | Wesleyan University | Family Medicine | 237 High St, Middletown, CT 06459-0850 | 2015-05-21 |
1992117162 | Arth Manoj Patel | Family Medicine | 99 Woodland Street, Family Medicine Center At Asylum Hill, Hartford, CT 06105 | 2014-05-22 |
1992009138 | Center for Orthopaedics, PC | Family Medicine | 464 Boston Post Rd, Orange, CT 06477-3566 | 2011-01-03 |
1649574880 | Center for Orthopaedics, PC | Family Medicine | 1224 Main St, Branford, CT 06405-3778 | 2011-01-03 |
1740583418 | Center for Orthopaedics, PC | Family Medicine | 148 East Ave, Suite 2e, Norwalk, CT 06851-5721 | 2010-12-17 |
1932324993 | Connecticut Orthopaedic Specialists, PC | Family Medicine | 84 N Main St Bldg 2, Branford, CT 06405-3061 | 2007-04-16 |
1336279058 | Mhs Primary Care, Inc | Family Medicine | 28 Crescent St, Middletown, CT 06457-3654 | 2007-03-06 |
1740219039 | Connecticut Orthopaedic Specialists, PC | Family Medicine | 2416 Whitney Ave, Hamden, CT 06518-3248 | 2006-07-01 |
1659317998 | Steffen M. Finkelstein | Family Medicine | 55 Lock Street, New Haven, CT 06520-8237 | 2006-06-22 |
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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.