CHARLES EDWARD BUCKLEY (NPI# 1134128051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134128051 |
| Entity Type | Individual |
| Full Name | CHARLES EDWARD BUCKLEY |
| Credential | MD |
| Practice Address |
4700 Berwyn House Rd Suite 102 College Park MD 20740-2474 |
| Mailing Address |
4700 Berwyn House Rd Suite 207 College Park MD 20740-2474 |
| Practice Telephone | 3013450406 |
| Practice Fax Number | 3013450409 |
| Mailing Telephone | 3012200150 |
| Mailing Fax Number | 3012201032 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2008-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
019671 | VA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
MD25540 | DC | Allopathic & Osteopathic Physicians |
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
D16341 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 0430630 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407822851 | Charles P Buckley | Emergency Medicine | 1561 Jeanel Ln, Aurora, IL 60502-9633 | 2006-02-27 |
| 1548456627 | Charles A Buckley | Emergency Medicine | 605 Parfet St, Lakewood, CO 80215-5576 | 2007-09-21 |
| Street Address |
4700 BERWYN HOUSE RD SUITE 102 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740-2474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437595410 | Mid-atlantic Psychological Services | Psychologist | 4700 Berwyn House Rd, College Park, MD 20740-2474 | 2013-05-16 |
| 1356787527 | Mid-atlantic Children's Services, Inc | Psychologist | 4700 Berwyn House Rd, Suite 206, College Park, MD 20740-2474 | 2013-05-15 |
| 1083959175 | Capital Area Primary Care LLC | Internal Medicine | 4700 Berwyn House Rd, Suite 108, College Park, MD 20740-4706 | 2012-11-30 |
| 1245509439 | Greater Washington Skin Center, LLC | Dermatology | 4700 Berwyn House Rd, Suite 108, College Park, MD 20740-2474 | 2011-12-19 |
| 1851690705 | Sagar V.nootheti,m.d.p.a | Orthopaedic Surgery | 4700 Berwyn House Rd, Suite 108, College Park, MD 20740-2474 | 2011-03-17 |
| 1912130287 | Pavan Kumar Nootheti | Dermatology | 4700 Berwyn House Rd, Suite 108, College Park, MD 20740-2474 | 2009-09-02 |
| 1962669804 | Phc Healthcare LLC | Internal Medicine | 4700 Berwyn House Rd, Suite 105, College Park, MD 20740-2474 | 2008-05-19 |
| 1225218894 | Therapeutic Wellness, LLC | Community/Behavioral Health | 4700 Berwyn House Rd, Suite 202, College Park, MD 20740-2474 | 2007-11-12 |
| 1023228947 | Anuja Gupta Kurichh | Internal Medicine | 4700 Berwyn House Rd, Suite 105, College Park, MD 20740-2474 | 2007-05-22 |
| 1760602874 | Jonita Conner | Internal Medicine | 4700 Berwyn House Rd, College Park, MD 20740 | 2007-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609229228 | Reema Goel | Radiology | 601 N Caroline St # R00m4210, Baltimore, MD 21287-0006 | 2016-07-19 |
| 1114234465 | Eram Zaidi | Radiology | 3716 Bonnybridge Pl, Ellicott City, MD 21043-4115 | 2010-09-08 |
| 1073611901 | Martin Y Magram | Radiology | 3611 Gardenview Rd, Baltimore, MD 21208-1511 | 2006-09-21 |
| 1477586055 | Profesional Medical Imaging Solutions LLC | Radiology | 9900 Franklin Square Dr, Baltimore, MD 21236-5915 | 2006-07-08 |
| 1265431324 | Harvey Ziessman | Radiology | 601 N Caroline St, Baltimore, MD 21287-0006 | 2005-07-20 |
| 1497370597 | Marshall Kyle Mills | Radiology | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-15 |
| 1033434808 | Diagnostic Imaging, LLC | Radiology | 1100 Mercantile Ln, Suite 150, Largo, MD 20774-5380 | 2010-04-05 |
| 1750618393 | Diagnostic Outpatient Center | Radiology | 8116 Good Luck Rd, Suite 101, Lanham, MD 20706-3502 | 2009-11-03 |
| 1710157706 | Barry Howard Friedman | Radiology | 201 W Preston St, Baltimore, MD 21201-2301 | 2008-03-05 |
| 1386848919 | Mehrbod Som Javadi | Radiology | 601 N Caroline St, Baltimore, MD 21287-0006 | 2007-06-14 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
Please comment or provide details below to improve the information on CHARLES EDWARD BUCKLEY.
| 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.