John J Buckley Sr. (NPI# 1639146723, PAC ID# 9133265952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1639146723 |
| PAC ID by PECOS | 9133265952 |
| Professional Enrollment ID | I20091008000510 |
| Full Name | John J Buckley Sr. |
| Address |
935 Trailwood Dr C Youngstown OH 44512-5062 |
| Phone Number | 3307588148 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1959 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| 360352 | SURGICAL HOSPITAL AT SOUTHWOODS |
| Address | Phone | Organization |
|---|---|---|
| 935 Trailwood Dr, C, Youngstown, OH 44512-5062 | 3307588148 |
| Street Address |
935 TRAILWOOD DR C |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44512-5062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Joseph Buckley Jr. | Plastic and Reconstructive Surgery | 935 Trailwood Dr, Suite C, Youngstown, OH 44512-5062 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | YOUNGSTOWN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on John J Buckley Sr..
| 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.