DR. LYNN RANDOLPH BUCKNER (NPI# 1386694263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386694263 |
| Entity Type | Individual |
| Full Name | DR. LYNN RANDOLPH BUCKNER |
| Credential | MD |
| Practice Address |
1405 7th Street Se Decatur AL 35601-3341 |
| Mailing Address |
Po Box 1029 Decatur AL 35602-1029 |
| Practice Telephone | 2563556414 |
| Practice Fax Number | 2563556646 |
| Mailing Telephone | 2563556414 |
| Mailing Fax Number | 2563556646 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 00016036 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RR MEDICARE | 990010719 | 01 |
| AL | 000025530 | 05 | |
| AL | BCBS | 51025530BUC | 01 |
| AL | UNITED HEALTH | 1710268 | 01 |
| Street Address |
1405 7TH STREET SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780670752 | William Jay Suggs | Surgery | 1405 7th Street Se, Decatur, AL 35601 | 2005-09-23 |
| 1598721144 | Surgical Associates of N Alabama | Surgery | 1405 7th Street Se, Decatur, AL 35601-3341 | 2006-04-24 |
| 1457317026 | Lionel Z Naylor | Surgery | 1405 7th Street Se, Decatur, AL 35601-3341 | 2006-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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 |
|---|---|---|---|---|
| 1083087340 | Alabama Bariatrics and Minimally Invasive Surgery, PC | Surgery | 705 Bank St Ne, Decatur, AL 35601-1609 | 2015-11-09 |
| 1639515778 | Sean P Mcgrath | Surgery | 2675 N Decatur Rd Ste 609, Decatur, GA 30033-6137 | 2013-05-16 |
| 1558505511 | Heath Colin Smith | Surgery | 2014 Ben Merritt Dr Ste A, Decatur, TX 76234-3851 | 2009-04-21 |
| 1235323551 | William R Hardcastle Md PC | Surgery | 487 Winn Way Ste 103, Decatur, GA 30030-1700 | 2007-08-29 |
| 1699834184 | Hugh Comer Nabers Jr. | Surgery | 1215 7th St Se Ste 190, Decatur, AL 35601-3393 | 2006-12-08 |
| 1396772851 | Alexandra Lara Barr Webb | Surgery | Va Medical Center Atlanta, 1670 Clairemont Road (112), Decatur, GA 30033 | 2006-06-28 |
| 1851342638 | Mark G Goss | Surgery | 2301 S Fm 51, Suite 500, Decatur, TX 76234-3865 | 2006-05-15 |
| 1073562583 | Daniel K Morris | Surgery | 2250 S Fm 51, Suite #900, Decatur, TX 76234-3766 | 2006-05-10 |
| 1225087562 | William E Wallace | Surgery | 2000 Ben Merritt Dr, Suite B, Decatur, TX 76234-3848 | 2006-05-06 |
| 1457318016 | Robert Charles Walker | Surgery | 1405 7th St Se, Decatur, AL 35601 | 2006-04-27 |
| Find all providers in DECATUR | ||||
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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.