Dallas R Buchanan


Address: 1000 W Kennedy Blvd, Suite 202, Tampa, FL 33606-1940

Dallas R Buchanan (NPI# 1619121878, PAC ID# 2567680143) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.

Physician Overview

Nation Provider ID (NPI) 1619121878
PAC ID by PECOS 2567680143
Professional Enrollment ID I20190109000067
Full Name Dallas R Buchanan
Address 1000 W Kennedy Blvd
Suite 202
Tampa
FL 33606-1940
Gender M
Medical School UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100157 LAKELAND REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1324 Lakeland Hill Blvd, Lakeland, FL 33805-4543 8636871100 LAKELAND REGIONAL HEALTH SYSTEMS INC
3525 Lakeland Hills Blvd, Lakeland, FL 33805-1965 8636036565 LAKELAND REGIONAL HEALTH SYSTEMS INC
1000 W Kennedy Blvd, Suite 202, Tampa, FL 33606-1940

Organization Information

Office Location

Street Address 1000 W KENNEDY BLVD
SUITE 202
City TAMPA
State FL
Zip 33606-1940

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Name Specialty Organization Address
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Jairo D Libreros Cupido Neurology 4914 N Armenia, Tampa, FL 33606-1402
Kirk R Smith Nurse Practitioner Joanna Mulder Np Inc 211 N Albany Ave, Tampa, FL 33606-1502
Nestor Guerrero Nurse Practitioner Choice Health Care, Inc. 1881 W Kennedy Blvd A B, Tampa, FL 33606-1611
Michael W Finn Certified Registered Nurse Anesthetist (crna) Synergy Anesthesiology Inc 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611
Susanne R Torano Certified Registered Nurse Anesthetist (crna) Synergy Anesthesiology Inc 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611
Mark Mikulak Certified Registered Nurse Anesthetist (crna) Synergy Anesthesiology Inc 1881 W Kennedy Blvd, Suite C, Tampa, FL 33606-1611
Janale C Beckford Podiatry 1881 W Kennedy Blvd, Suite A, Tampa, FL 33606-1611
David E Halpern Plastic and Reconstructive Surgery 120 S Fremont Ave, Tampa, FL 33606-1703
Kerry W Knesl Clinical Social Worker 105 S Albany Ave, Tampa, FL 33606-1710
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Competitor

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City TAMPA
Zip Code 33606
Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
City + Specialty TAMPA + PLASTIC AND RECONSTRUCTIVE SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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