DR. TYLER HOWARD BUCKLEY (NPI# 1407299522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407299522 |
| Entity Type | Individual |
| Full Name | DR. TYLER HOWARD BUCKLEY |
| Credential | M.D. |
| Practice Address |
820 N Chelan Ave Wenatchee WA 98801-2028 |
| Practice Telephone | 5096638711 |
| Mailing Telephone | 5096638711 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD60942112 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| Street Address |
820 N CHELAN AVE |
| City | WENATCHEE |
| State | WA |
| Zip Code | 98801-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728329 | John J Loffarelli | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2005-05-23 |
| 1376166124 | Alonso Castro Aroyo | Optometrist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2020-05-27 |
| 1275190746 | Matthew L Karr | Pharmacist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-05-21 |
| 1891352381 | Victoria B Chong | Pharmacist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-05-21 |
| 1871159319 | Mary Zontek | Case Manager/Care Coordinator | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-05-09 |
| 1124585633 | Valerie Rose Wintler | Nurse Practitioner | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-02-21 |
| 1831654524 | Catherine Elisabeth Clift | Nurse Practitioner | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2019-02-06 |
| 1891265088 | Kelsey Marie Cibicki | Nurse Practitioner | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2018-11-29 |
| 1568956613 | Elizabeth Grace Schroeder | Occupational Therapist | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2018-06-20 |
| 1942793757 | John Reese Bradburn | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801 | 2018-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728365 | Jeannie Jones | Massage Therapist | 15 2nd St, Hallway 15, Wenatchee, WA 98801 | 2020-07-22 |
| 1184246688 | Mireya Ann Bahena | Case Manager/Care Coordinator | Catholic Charities of The Diocese of 145 S. Worthen St., Wenatchee, WA 98801 | 2020-05-07 |
| 1871067843 | Bfg Wenatchee Propco Iv, LLC | Assisted Living Facility | 817 Red Apple Rd, Wenatchee, WA 98801 | 2019-01-14 |
| 1982177283 | Michael Lee Miller | Behavioral Analyst | 264 N. Mission, Wenatchee, WA 98801 | 2019-01-09 |
| 1972073526 | Daniel Jentges | Family Medicine | 413 N Mission St., Wenatchee, WA 98801 | 2018-11-27 |
| 1972010437 | Daniel Nickel | Occupational Therapy Assistant | 217 Wetherald St, Wenatchee, WA 98801 | 2018-01-05 |
| 1962916379 | The Professional Denture Center | Denturist | 533 South Mission St, Wenatchee, WA 98801 | 2017-11-21 |
| 1467978155 | Matthew Jerauld Laws | Massage Therapist | 416 Ninth Street, Wenatchee, WA 98801 | 2017-08-15 |
| 1073051363 | Kimberley Rae Chambers | Massage Therapist | 25 N Wenatchee Ave Suite 104, Wenatchee, WA 98801 | 2017-02-07 |
| 1841746187 | Valentina Alvarez | Counselor | 145 S Worthern, Wenatchee, WA 98801 | 2016-08-28 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730341702 | Julia Moukharskaya | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801 | 2008-06-30 |
| 1952561680 | Lindsay Carol Overton | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2008-06-16 |
| 1972676476 | Joseph Lowell Johnson | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-11-15 |
| 1922027051 | Julie C Smith | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-07-19 |
| 1447279112 | David T Notter | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-07-19 |
| 1982648820 | Thomas Boynton Tucker | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-06-15 |
| 1114917960 | Mitchell Garrison | Internal Medicine | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
| 1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
| 1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
| 1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
| 1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
| 1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
| 1962701110 | Toni Kay Roberts | Internal Medicine | 2720 Clare Ave Ste A, Bremerton, WA 98310-3374 | 2011-03-26 |
| 1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
| 1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
| 1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
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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.