DR. JESSICA L BUCKNER (NPI# 1275518144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275518144 |
| Entity Type | Individual |
| Full Name | DR. JESSICA L BUCKNER |
| Credential | DPM |
| Practice Address |
81 Medical Center Dr Suite 2100 Brunswick ME 04011-2690 |
| Practice Telephone | 2077254008 |
| Practice Fax Number | 2077255749 |
| Mailing Telephone | 2077254008 |
| Mailing Fax Number | 2077255749 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2008-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
POD 1056 | ME | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431916399 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508129602 | Jessica Buckner | Licensed Practical Nurse | 10861 Valentine Rd Sw, Stoutsville, OH 43154-9508 | 2012-06-22 |
| 1689222606 | Jessica Lynne Buckner | Case Manager/Care Coordinator | 2020 E Grand River Ave Ste 104, Howell, MI 48843-2478 | 2019-09-03 |
| 1043868284 | Jessica Ann Buckner | Nurse Practitioner | 1031 Morganton Blvd Sw, Lenoir, NC 28645-5677 | 2019-08-30 |
| Street Address |
81 MEDICAL CENTER DR SUITE 2100 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598130411 | Rebecca Howe | Dietitian, Registered | 81 Medical Center Dr, Suite 2200, Brunswick, ME 04011-2764 | 2015-12-03 |
| 1588066203 | Carroll Clinical Consulting Pllc | Internal Medicine | 81 Medical Center Dr, Ste 1300, Brunswick, ME 04011-2764 | 2014-09-25 |
| 1780095786 | Claire Ross | Nurse Practitioner | 81 Medical Center Dr, Suite 2150, Brunswick, ME 04011-2764 | 2014-05-13 |
| 1104122936 | Michael David Kipp | Assistant, Podiatric | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2764 | 2011-01-26 |
| 1174764146 | Angela M. Perron Dpm Pa | Podiatrist | 81 Medical Center Dr, Suite 1150, Brunswick, ME 04011-2690 | 2009-03-20 |
| 1871767699 | Alison R Fernald | Nutritionist | 81 Medical Center Dr, Suite 2200, Brunswick, ME 04011-2764 | 2008-04-14 |
| 1699974097 | Jared T Wilkinson | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2007-07-16 |
| 1770703811 | Kristen Jane Schroeder-cyr | Nurse Practitioner | 81 Medical Center Dr, Suite 2300, Brunswick, ME 04011-2764 | 2007-04-30 |
| 1649312638 | Liana Belle Kelly | Nurse Practitioner | 81 Medical Center Dr, Ste 2200, Brunswick, ME 04011-2765 | 2007-02-13 |
| 1093874893 | William P Stamey | Psychiatry & Neurology | 81 Medical Center Dr, Suite 2400, Brunswick, ME 04011-2764 | 2006-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699751131 | Angela M Perron | Podiatrist | 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801992375 | Joseph A Greco | Podiatrist | 95 East Ave, Lewiston, ME 04240 | 2006-09-15 |
| 1023005378 | Dominick Olivo | Podiatrist | 175 W Broadway, Lincoln, ME 04457-4000 | 2005-10-03 |
| 1518951201 | Daniel James Benson | Podiatrist | 12 Spruce St, Suite #5, Augusta, ME 04330-5204 | 2005-09-08 |
| 1598160301 | Podiatry of Northern Maine | Podiatrist | 22 North St, Houlton, ME 04730-1833 | 2014-10-23 |
| 1679829212 | David Thao | Podiatrist | 529 S Patten Rd, Patten, ME 04765-3007 | 2012-08-01 |
| 1386925055 | Jared Yadon Kohlbacher | Podiatrist | 140 Academy St Ste 10, Presque Isle, ME 04769-3102 | 2011-09-07 |
| 1962669556 | Melissa Ann Milza | Podiatrist | 5 Abby Rd, Windham, ME 04062-5513 | 2008-05-21 |
| 1043498744 | Richard Steinmetz Dpm | Podiatrist | 846 Main St, Ste 2, Westbrook, ME 04092-2847 | 2008-02-05 |
| 1538346564 | Associated Foot Care Pa | Podiatrist | 95 East Ave, Lewiston, ME 04240 | 2008-01-22 |
| 1063595817 | Richard Steinmetz | Podiatrist | 980 Forest Ave, Ste 102, Portland, ME 04103-3357 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
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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.