Jordan D Buckley (NPI# 1245724574, PAC ID# 3971850249) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1245724574 |
PAC ID by PECOS | 3971850249 |
Professional Enrollment ID | I20180717003801 |
Full Name | Jordan D Buckley |
Organization Legal Name | SPRINGFIELD NEPHROLOGY ASSOCIATES INC |
Address |
1165 N Butterfield Rd Bolivar MO 65613-1056 |
Phone Number | 4178865000 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6901905553 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260065 | MERCY HOSPITAL SPRINGFIELD |
260195 | CITIZENS MEMORIAL HOSPITAL |
260040 | COX MEDICAL CENTERS |
261335 | MERCY ST FRANCIS HOSPITAL |
Address | Phone | Organization |
---|---|---|
1165 N Butterfield Rd, Bolivar, MO 65613-1056 | 4178865000 | SPRINGFIELD NEPHROLOGY ASSOCIATES INC |
1911 S National Ave, Suite 301, Springfield, MO 65804-2213 | 4178865000 | SPRINGFIELD NEPHROLOGY ASSOCIATES INC |
Organization Legal Name | SPRINGFIELD NEPHROLOGY ASSOCIATES INC |
Physicians | 14 |
Name | Specialty | Organization | Address |
---|---|---|---|
Susan A Woody | Nephrology | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
Cynthia Anne Shaughnessy | Nurse Practitioner | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
David L Sommerfeld | Nephrology | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
Casey L Westerman | Nurse Practitioner | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
Lisa Marie Coombs | Nurse Practitioner | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
Stephen E Garcia | Nephrology | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
Michelle L Homesley | Nurse Practitioner | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
Ethan T Hoerschgen | Nephrology | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
Giselle Damien Kohler | Nephrology | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
Taylor R Baswell | Nurse Practitioner | Springfield Nephrology Associates Inc | 1911 S National Ave, Suite 301, Springfield, MO 65804-2213 |
Street Address |
1165 N BUTTERFIELD RD |
City | BOLIVAR |
State | MO |
Zip | 65613-1056 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kristine T Grbac-schomaker | Qualified Audiologist | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 | |
Megan A Miller | Nurse Practitioner | Springfield Nephrology Associates Inc | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sylvia B Mcqueary | Psychologist, Clinical | 201 S Killingsworth, Bolivar, MO 65613-0963 | |
John T Tweedie | Chiropractic | 211 N Main Ave, Bolivar, MO 65613-1519 | |
William Jansen Vanhoornbeek | Physical Therapy | 1028 W Broadway St, Suite A, Bolivar, MO 65613-1809 | |
Wanita D Lister | Nurse Practitioner | 1317 W Broadway St, Bolivar, MO 65613-1814 | |
Jerald D Forsyth | Clinical Psychologist | 404 E Broadway, Bolivar, MO 65613-2019 | |
Brian G Hackleman | Chiropractic | 341 S Springfield Ave, Bolivar, MO 65613-2040 | |
Erin E Genua | Optometry | Bolivar Vision, LLC | 325 S Main Ave, Vision Source Bolivar, Bolivar, MO 65613-2052 |
Laura B Montgomery | Optometry | Bolivar Vision, LLC | 325 S Main Ave, Vision Source Bolivar, Bolivar, MO 65613-2052 |
Richard Lane Nutt | Optometry | 626 S Springfield Ave, Bolivar, MO 65613-2454 | |
Tommie L Miller | Clinical Social Worker | Northwoods Psychiatric Services Inc | 1100 S Springfield Ave, Suite B, Bolivar, MO 65613-2512 |
Find all physicians in zip 65613 |
City | BOLIVAR |
Zip Code | 65613 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BOLIVAR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jordan D Buckley.
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.