Sean P Buckley (NPI# 1730559790, PAC ID# 7810293685) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1730559790 |
| PAC ID by PECOS | 7810293685 |
| Professional Enrollment ID | I20160304001878 |
| Full Name | Sean P Buckley |
| Organization Legal Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Address |
923 W 3rd St Pembroke NC 28372-9628 |
| Phone Number | 9105210564 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012058548 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 923 W 3rd St, Pembroke, NC 28372-9628 | 9105210564 | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Organization Legal Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abby Alysse Gaskell | Physician Assistant | Southeastern Regional Physician Services | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6937 |
| Steven K Jernigan | Nurse Practitioner | Southeastern Regional Physician Services | 9858 Wr Lathan Dr, Clarkton, NC 28433-9255 |
| Joshua J Ruiz | Internal Medicine | Southeastern Regional Physician Services | 1200 Pine Run Dr, Lumberton, NC 28358-2180 |
| Andrew M Freeman | Family Medicine | Southeastern Regional Physician Services | 730 Oakridge Blvd, Lumberton, NC 28358-2324 |
| Debra B Beasley | Nurse Practitioner | Southeastern Regional Physician Services | 295 W 27th St, Lumberton, NC 28358-3016 |
| Melanie K Bauer | Physician Assistant | Southeastern Regional Physician Services | 105 W 27th St, Lumberton, NC 28358-3075 |
| Roberto Jose Arias Gautreaux | General Surgery | Southeastern Regional Physician Services | 2934 N Elm St, Suite E, Lumberton, NC 28358-2986 |
| Patricia Lyn Matto | Family Medicine | Southeastern Regional Physician Services | 2905 N Elm St, Lumberton, NC 28358-2982 |
| Saksith Smithason | Neurosurgery | Southeastern Regional Physician Services | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8288 |
| Tonna M Wyatt | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Street Address |
923 W 3RD ST |
| City | PEMBROKE |
| State | NC |
| Zip | 28372-9628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Toni Chagolla Oxendine | Pediatric Medicine | Southeastern Regional Physician Services | 923 W 3rd St, Pembroke, NC 28372-9628 |
| Denene P Smith | Nurse Practitioner | Southeastern Regional Physician Services | 923 W 3rd St, Pembroke, NC 28372-9628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin L Brooks | Family Practice | 7729 Nc Hwy 711, Pembroke, NC 28372-0037 | |
| Danny L West | Family Medicine | West Primary Care Inc | 102 Livermore Dr, Pembroke, NC 28372-7270 |
| Karen Rose Betz | Physician Assistant | West Primary Care Inc | 102 Livermore Dr, Pembroke, NC 28372-7270 |
| Sheila Cannon | Nurse Practitioner | Coastal Southeastern United Care LLC | 30 Drakes Branch Dr, Pembroke, NC 28372-7325 |
| Michelle L Perkins | Clinical Social Worker | Coastal Southeastern United Care LLC | 30 Drakes Branch Dr, Pembroke, NC 28372-7325 |
| David Alan Joseph | Psychiatry | Coastal Southeastern United Care LLC | 30 Drakes Branch Dr, Pembroke, NC 28372-7325 |
| Donna Sue Mcdowell | Nurse Practitioner | Robeson Health Care Corporation | 307 E Wardell Dr, Pembroke, NC 28372-7998 |
| Donald Dwayne Locklear | Nurse Practitioner | Robeson Health Care Corporation | 307 E Wardell Dr, Pembroke, NC 28372-7998 |
| Brandy Nichole Long | Nurse Practitioner | Robeson Health Care Corporation | 307 E Wardell Dr, Pembroke, NC 28372-7998 |
| Jamie L Morgan | Physician Assistant | Robeson Health Care Corporation | 307 E Wardell Dr, Pembroke, NC 28372-7998 |
| Find all physicians in zip 28372 | |||
| City | PEMBROKE |
| Zip Code | 28372 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PEMBROKE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sean P 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.