Robert L Buckley (NPI# 1356314702, PAC ID# 4486847076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1356314702 |
| PAC ID by PECOS | 4486847076 |
| Professional Enrollment ID | I20101014001097 |
| Full Name | Robert L Buckley |
| Organization Legal Name | DUTCH MEDICAL CLINICS, INC |
| Address |
3600 Bluecutt Rd Columbus MS 39705-1303 |
| Phone Number | 6625704770 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 9234376088 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250100 | BAPTIST MEM HOSP/ GOLDEN TRIANGLE INC |
| Address | Phone | Organization |
|---|---|---|
| 3600 Bluecutt Rd, Columbus, MS 39705-1303 | 6625704770 | DUTCH MEDICAL CLINICS, INC |
| Organization Legal Name | DUTCH MEDICAL CLINICS, INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Alyssa Gillis | Nurse Practitioner | Dutch Medical Clinics, Inc | 1116 Mitt Lary Rd, Northport, AL 35475-4978 |
| Amy R Robertson | Nurse Practitioner | Dutch Medical Clinics, Inc | 3654 B New Hope Rd, Community Care Clinic At New Hope, Columbus, MS 39702-8521 |
| James S Woodard | Internal Medicine | Dutch Medical Clinics, Inc | 56 Dutch Ln, Columbus, MS 39702-5500 |
| David C Bailey Jr. | Nurse Practitioner | Dutch Medical Clinics, Inc | 1116 Mitt Lary Rd, Northport, AL 35475-4978 |
| Stefanie T Christy | Nurse Practitioner | Dutch Medical Clinics, Inc | 56 Dutch Ln, Columbus, MS 39702-5500 |
| Allison B Taylor | Nurse Practitioner | Dutch Medical Clinics, Inc | 3654 B New Hope Rd, Community Care Clinic At New Hope, Columbus, MS 39702-8521 |
| Ellen Elizabeth Scherrer | Nurse Practitioner | Dutch Medical Clinics, Inc | 3600 Bluecutt Rd, Columbus, MS 39705-1303 |
| Anna E Wiygul | Nurse Practitioner | Dutch Medical Clinics, Inc | 3600 Bluecutt Rd, Columbus, MS 39705-1303 |
| John E Stanback | Family Medicine | Dutch Medical Clinics, Inc | 3600 Bluecutt Rd, Columbus, MS 39705-1303 |
| Bobbie S Pearson | Nurse Practitioner | Dutch Medical Clinics, Inc | 56 Dutch Ln, Columbus, MS 39702-5500 |
| Street Address |
3600 BLUECUTT RD |
| City | COLUMBUS |
| State | MS |
| Zip | 39705-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duke J Wood | Family Medicine | 3600 Bluecutt Rd, Suite 200, Columbus, MS 39705-1303 | |
| Ellen Elizabeth Scherrer | Nurse Practitioner | Dutch Medical Clinics, Inc | 3600 Bluecutt Rd, Columbus, MS 39705-1303 |
| Anna E Wiygul | Nurse Practitioner | Dutch Medical Clinics, Inc | 3600 Bluecutt Rd, Columbus, MS 39705-1303 |
| John E Stanback | Family Medicine | Dutch Medical Clinics, Inc | 3600 Bluecutt Rd, Columbus, MS 39705-1303 |
| Marilyn Dyer Smith | Nurse Practitioner | Dutch Medical Clinics, Inc | 3600 Bluecutt Rd, Columbus, MS 39705-1303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Moore | Nurse Practitioner | Weekends Plus Urgent Care LLC | 3189 High Way 45, Suite H, Columbus, MS 39705-1251 |
| Judy T Trenary | Nurse Practitioner | Weekends Plus Urgent Care LLC | 3189 High Way 45, Suite H, Columbus, MS 39705-1251 |
| Ashley O Earwood | Optometry | Brooks Eye Center Inc | 3545 Bluecutt Rd, Columbus, MS 39705-1324 |
| James E Brooks | Optometry | Brooks Eye Center Inc | 3545 Bluecutt Rd, Columbus, MS 39705-1324 |
| Robert C Phyfer | Optometry | Brooks Eye Center Inc | 3545 Bluecutt Rd, Columbus, MS 39705-1324 |
| Slater B Lowry | Internal Medicine | 362 Park Creek Dr, Columbus, MS 39705-1326 | |
| James B Williams | Cardiovascular Disease (cardiology) | 3491 Bluecutt Rd, Suite 3, Columbus, MS 39705-1343 | |
| Jessica Huckaby | Physical Therapy | Encore Rehabilitation Inc | 2406 Hwy 45 N A, Columbus, MS 39705-1398 |
| Craig Strong | Physical Therapy | Encore Rehabilitation Inc | 2406 Hwy 45 N A, Columbus, MS 39705-1398 |
| Paul W Barrett | Nurse Practitioner | 321 Hospital Dr, Columbus, MS 39705-1920 | |
| Find all physicians in zip 39705 | |||
| City | COLUMBUS |
| Zip Code | 39705 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | COLUMBUS + PEDIATRIC MEDICINE |
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| 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.