DR. KEVIN BUCZKOWSKI (NPI# 1891316477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891316477 |
| Entity Type | Individual |
| Full Name | DR. KEVIN BUCZKOWSKI |
| Credential | DPM |
| Practice Address |
185 Pilgrim Rd Boston MA 02215-5324 |
| Mailing Address |
1110 Sheridan Ave Apt D Elizabeth NJ 07208-2818 |
| Practice Telephone | 6176327098 |
| Mailing Telephone | 9087874902 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
STUDENT | MA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
185 PILGRIM RD |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932193851 | David Eli Leeman | Internal Medicine | 185 Pilgrim Rd, Baker 4, Boston, MA 02215-5324 | 2005-09-07 |
| 1669084141 | Alyssa Jeanne Kuba | Registered Nurse | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-08-17 |
| 1780209890 | Sarah Hannah Lawrence | Registered Nurse | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-06-15 |
| 1740805829 | Elizabeth Kelsey Macneil | Nurse Practitioner | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-06-14 |
| 1912529306 | Juan Trinidad Ceja Solorio | Student in an Organized Health Care Education/Training Program | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-05-08 |
| 1013536671 | Corey Paul Rainboth | Counselor | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-04-14 |
| 1821623042 | Justine Delpriore | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-03-09 |
| 1841825023 | Marie Ayabe | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-03-07 |
| 1093354466 | Katherine Germak | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2020-01-02 |
| 1033760665 | Jaclyn Michelle French | Social Worker | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
| 1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
| 1942765581 | Lya Basha | Podiatrist | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2019-02-07 |
| 1942781547 | Tommy Thanh Ho | Podiatrist | 185 Pilgrim Rd, Boston, MA 02215 | 2018-08-22 |
| 1083111207 | John Andrew Martucci | Podiatrist | 185 Pilgrim Rd, Boston, MA 02215 | 2018-04-13 |
| 1912429002 | Amish Kumar Dudeja | Podiatrist | 330 Brookline Ave, Boston, MA 02215-5400 | 2017-07-11 |
| 1114309325 | Raymond Salvatore Murano IIi | Podiatrist | 185 Pilgrim Rd, Baker Building 3rd Floor, Boston, MA 02215-5324 | 2015-06-24 |
| 1962822452 | Elizabeth Sanders | Podiatrist | One Boston Medical Center Place, Boston, MA 02118 | 2014-04-23 |
| 1609214543 | Christopher P Tveter | Podiatrist | 125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847 | 2013-06-13 |
| 1548525033 | Emily Pugh | Podiatrist | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2012-07-10 |
| Find all providers in BOSTON | ||||
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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.