KEVIN R. BUCKWALTER MD – NPI #1003813478
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
KEVIN BUCKWALTER is a physician located in LAS VEGAS, NV. NPPES has assigned the NPI number 1003813478 to KEVIN BUCKWALTER on June 30, 2005. 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 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was previously updated about 8 years ago on Mar 17, 2018. 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 KEVIN BUCKWALTER below.
NPI Profile for
KEVIN R. BUCKWALTER
(about 21 years ago)
LAS VEGAS, NV 89128-0498 Phone: (702) 568-8450 Fax: (702) 568-8451
1 Other location(s):
# 1
CONCORD, CA 94520-4405
Phone: (916) 733-6993
Fax: (916) 733-6989
# 1
CONCORD, CA 94520-4405 Phone: (916) 733-6993 Fax: (916) 733-6989
Identifiers for KEVIN BUCKWALTER
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | LICENSE | CA | A63401 |
| OTHER | LICENSE | NV | 8476 |
| OTHER | MCARE PTAN | CA | 00A634010 |
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
CA | A63401 |
| 208600000X - Surgery |
CA | A63401 |
| 207Q00000X - Family Medicine |
CA | A63401 |
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
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
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See the complete CMS Data Dissemination Notice here.