MARYELLEN BUCK (NPI# 1124377155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124377155 |
| Entity Type | Individual |
| Full Name | MARYELLEN BUCK |
| Credential | FNP |
| Practice Address |
5908 E Stop 11 Rd Indianapolis IN 46237 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 3174976800 |
| Practice Fax Number | 3174976801 |
| Mailing Telephone | 3176217547 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004119B | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004119A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 119 W 7th St, Bloomington, IN 474043926 | 8213234480 | |
| 3455 Mann Rd, Indianapolis, IN 462212337 | 3174870722 | |
| 5545 E Stop 11 Rd, Indianapolis, IN 462378616 | 3174976800 | 3174976801 |
| Street Address |
5908 E STOP 11 RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285665505 | Patrick M Mcgill | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2006-07-05 |
| 1154856151 | Kexia Van | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2017-04-27 |
| 1487189510 | Michael Lewis | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2017-04-26 |
| 1497201677 | Rachel Sanderson | Physician Assistant | 5908 E Stop 11 Rd, Indianapolis, IN 46237 | 2016-08-29 |
| 1881048130 | Jaymin Patel | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2016-04-22 |
| 1124482948 | Itoro Okpokho | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237 | 2016-04-07 |
| 1649633702 | Marisa Smith | Social Worker | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2016-04-05 |
| 1841668894 | Jacqueline Wentz | Physician Assistant | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2015-09-08 |
| 1689053290 | Erin Ray | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2015-05-28 |
| 1568567758 | Linda A Huck | Internal Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on MARYELLEN BUCK.
| 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.