DR. FREDERICK OLIVER BUCKLEY JR. (NPI# 1013905025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013905025 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK OLIVER BUCKLEY JR. |
| Credential | M.D. |
| Practice Address |
104 Endicott St Suite 200 Danvers MA 01923-3623 |
| Practice Telephone | 9788826868 |
| Practice Fax Number | 9788826828 |
| Mailing Telephone | 9788826868 |
| Mailing Fax Number | 9788826828 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2012-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 44363 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2071843 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871683730 | Frederick Peter Buckley | Anesthesiology | University of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2006-10-13 |
| Street Address |
104 ENDICOTT ST SUITE 200 |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749410 | Carl Bruce Ledig | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2005-09-06 |
| 1720528334 | Scott Roberts | Physician Assistant | 104 Endicott St, Ste. 100, Danvers, MA 01923-3623 | 2017-03-01 |
| 1447657564 | North Shore Ear, Nose & Throat Associates | Otolaryngology | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2014-12-04 |
| 1134526429 | North Shore Ear, Nose & Throat | Otolaryngology | 104 Endicott St, Suire 100, Danvers, MA 01923-3623 | 2014-12-02 |
| 1780927376 | Jonathan Benjamin Wilfong | Internal Medicine | 104 Endicott St, Suite 104, Danvers, MA 01923-3623 | 2013-04-02 |
| 1902156078 | Katie Kirleis | Audiologist | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2012-09-14 |
| 1215238613 | Christiina Marissa Murphy | Physician Assistant | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2010-11-16 |
| 1326352725 | Megan Avey | Audiologist | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2010-07-28 |
| 1154634426 | Maribeth Deltorchio | Audiologist | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2010-07-15 |
| 1396062246 | Massachusetts General Physicians Organization | Dentist | 104 Endicott St, Suite 101, Danvers, MA 01923-3623 | 2010-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033272661 | Vinod Narra | Surgery | 104 Endicott St Ste 200, Danvers, MA 01923-3623 | 2006-12-18 |
| 1497749410 | Carl Bruce Ledig | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2005-09-06 |
| 1619018140 | Donald Marvin Perlman | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2007-02-09 |
| 1699735605 | Marc Stuart Rubin | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2006-03-24 |
| 1487614418 | Jaime Alfredo Rivera | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2006-03-24 |
| 1689633273 | James H Balcom Iv | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2006-03-21 |
| 1164481743 | William Vasilos Kastrinakis | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2006-03-21 |
| 1568431641 | Richard Duane Goodenough | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2006-03-14 |
| 1215903539 | Russell Lloyd Ranson Ryan | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2006-02-27 |
| 1417946799 | David J Martini | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2005-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.