ROBERT CHARLES BUCKLEY


Address: 4381 S. Eason Blvd, Suite 101, Tupelo, MS 38801-4904
Phone: 6623776630

ROBERT CHARLES BUCKLEY (NPI# 1093786980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093786980
Entity Type Individual
Full Name ROBERT CHARLES BUCKLEY
Credential MD
Practice Address 4381 S. Eason Blvd
Suite 101
Tupelo
MS 38801-4904
Mailing Address 454 E President Ave
Tupelo
MS 38801-5501
Practice Telephone 6623776630
Practice Fax Number 6623776635
Mailing Telephone 6623774685
Mailing Fax Number 6623772755
Enumeration Date 2006-01-30
Last Update Date 2007-09-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery 12823 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00110707 05

Other Providers ROBERT BUCKLEY

NPI Name Taxonomy Address Enumeration
1225544844 Robert R Buckley IIi Physical Therapy Assistant 11034 Eaton Ct, Fishers, IN 46038-4739 2017-12-19
1619047024 Robert K Buckley Chiropractor 680 Heacock Rd., Suite 204, Yardley, PA 19067 2006-11-09
1174618334 Robert Sean Buckley Family Medicine 2809 Wehrle Dr, Suite 10, Williamsville, NY 14221-7380 2006-10-04
1114938917 Robert Leslie Buckley Family Medicine 1530 Acacia Lane, Woodstock, IL 60098 2006-08-10
1306822846 Robert Hobson Buckley Pediatrics Psc 827 Box 273, Fpo, AE 09617-1000 2005-12-16
1447683842 Robert P Buckley Dentist 1 Eastview Rd, Averill Park, NY 12018-2402 2013-08-21
1790051266 Robert Thomas Buckley Neurological Surgery 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 2012-03-28
1144234808 Robert Donald Buckley Jr. Kinesiotherapist 76 Veterans Ave, Bath, NY 14810-0810 2006-07-28
1558391037 Robert Alan Buckley Psychiatry & Neurology 1001 Potrero Ave, Rm 7m, San Francisco, CA 94110-3518 2006-07-03
1952351280 Robert Buckley Orthopaedic Surgery 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2006-05-10

Office Location

Street Address 4381 S. EASON BLVD
SUITE 101
City TUPELO
State MS
Zip Code 38801-4904

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467626390 Douglas Alan Pritchard Plastic Surgery 4248 S Eason Blvd. Suite B, Tupelo, MS 38801 2008-04-22
1649381104 Tupelo Plastic Surgery Clinic of Tupelo Pa Plastic Surgery 4381 S Eason Blvd Ste 101, Longtown Medical Park, Tupelo, MS 38801-6586 2006-08-31
1205943826 Janis E Burns-tutor Plastic Surgery 1040 C South Madison St, Tupelo, MS 38801-6300 2006-08-23
1679531255 Plastic Surgery of North Ms Pa Plastic Surgery 4248 Eason Blvd, Suite B, Tupelo, MS 38801 2006-05-03
1932189818 Mark H Craig Plastic Surgery 2147 Southridge Dr, Tupelo, MS 38801-6405 2006-01-18
1215048939 Accent Plastic & Reconstructive Surgery Plastic Surgery 607 Garfield St, Tupelo, MS 38801-6337 2006-08-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730665209 Michael Diaz Md PC Plastic Surgery 936 Tommy Munro Dr, Biloxi, MS 39532-2130 2018-07-17
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1821351107 Sana L Bhatti Plastic Surgery 7730 Old Canton Rd Bldg A, Madison, MS 39110-9299 2012-06-21
1639320864 Mississippi Premier Plastic Surgery, Pllc Plastic Surgery 160 Fountains Blvd, Suite B, Madison, MS 39110-4643 2008-10-07
1346424298 Rs Runnels Jr. M.d. Pllc Plastic Surgery 1055 River Oaks Dr, Flowood, MS 39232-9595 2007-12-27
1003006602 Hossein Nasajpour Plastic Surgery 1410 Jefferson St, Laurel, MS 39440-4243 2007-07-30
1023224250 Daniel Huff Shell Iv Plastic Surgery 2716 W Oxford Loop, Suite 171, Oxford, MS 38655-5714 2007-05-15
1639221179 Rudolph Scott Runnels Jr. Plastic Surgery 1055 River Oaks Drive, Flowood, MS 39232-9595 2007-01-17
1578631248 Suman K. Das Md Pa Plastic Surgery 2629 Courthouse Crl, Flowood, MS 39232-9521 2006-12-01
1861580557 William L Reno IIi Plastic Surgery 40 Franklin Rd, Hattiesburg, MS 39402-1318 2006-10-10
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Competitor

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City TUPELO
Zip Code 38801

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Dataset Information

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.

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