RYAN BUCKLEY D.O. – NPI #1861713521
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

RYAN BUCKLEY is a physician located in JOHNSON CITY, TN. NPPES has assigned the NPI number 1861713521 to RYAN BUCKLEY on June 17, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 2 years ago on May 24, 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 RYAN BUCKLEY below.

NPI Profile for
RYAN BUCKLEY

NPI Number
1861713521
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RYAN BUCKLEY
Credentials
D.O.
Primary location
LAMONT STREET AND VETERANS WAY
JOHNSON CITY, TN 37604
Phone: (423) 926-1171 Fax:
1 Other location(s):
Bldg H 2005 Knight Lane
Navy Medicine Support Command, ATTN: Medical Staff Serv
jacksonville, FL 32212-0140
Phone: (619) 532-6400
Mailing address
123 LAKE HARBOR DR
JOHNSON CITY, TN 37615-2972
Phone: (269) 369-0304 Fax:
Sole Proprietor
Yes
Updated
Certification Date
May 20, 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.

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
207P00000X
- Emergency Medicine (Primary)
TN 4928
390200000X
- Student in an Organized Health Care Education/Training Program

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.