SHANNON P. BUCK D.O. – NPI #1578895744
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

SHANNON BUCK is a dermatologist located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1578895744 to SHANNON BUCK on February 12, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was last updated on Oct 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHANNON BUCK below.

NPI Profile for
SHANNON P. BUCK

NPI Number
1578895744
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SHANNON P. BUCK
Credentials
D.O.
Primary location
1100 WILFORD HALL LOOP BLDG 4554
SAN ANTONIO, TX 78236
Phone: (210) 292-8200 Fax: (210) 292-3781
3 Other location(s):
2200 Bergquist Dr
Suite 1
Jbsa Lackland, TX 78236-9907
Phone: (210) 292-5350
Fax: (210) 292-3781
11503 NW Military Hwy Ste 321
San Antonio, TX 78231
Phone: (726) 213-3494
7979 Wurzbach Rd
San Antonio, TX 78229-4427
Phone: (210) 450-9000
Mailing address
7300 RANCH ROAD 2222, BLDG 1, STE 200
AUSTIN, TX 78730
Phone: (512) 628-0465 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Oct 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SHANNON BUCK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX395705201
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
TX S0144
207ND0101X
- Dermatology / MOHS-Micrographic Surgery
TX S0144

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
KAISER PERMANENTE SCHOOL OF MEDICINE - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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