MR. ANDREW PAUL BUCKO (NPI# 1487200473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487200473 |
| Entity Type | Individual |
| Full Name | MR. ANDREW PAUL BUCKO |
| Credential | ATC, LAT |
| Practice Address |
205 S Providence Rd Wallingford PA 19086-6333 |
| Mailing Address |
500 Pasadena Dr Magnolia NJ 08049-1645 |
| Practice Telephone | 6108923470 |
| Mailing Telephone | 6107178755 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
J3-0000512 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOC | 2000015396 | 01 | |
| PA | STATE ATHLETIC TRAINING LICENSE | J3-0000512 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 196 W Sproul Rd, Springfield, PA 190642045 | 6103288830 |
| Street Address |
205 S PROVIDENCE RD |
| City | WALLINGFORD |
| State | PA |
| Zip Code | 19086-6333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659706943 | Jason Luty | Specialist/Technologist | 205 S Providence Rd, Wallingford, PA 19086-6333 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168997 | Cara Grace Termini | Speech-Language Pathologist | 315 Prichard Ln, Wallingford, PA 19086 | 2018-09-24 |
| 1235633637 | Katharina Stephanie Shaw | Student in an Organized Health Care Education/Training Program | 100 Blackthorn Rd, Wallingford, PA 19086 | 2018-03-20 |
| 1750790382 | Debra Thompson | Psychologist | 715 Scott Lane, Wallingford, PA 19086 | 2014-08-07 |
| 1265853709 | Tamar V Jefferis | Internal Medicine | 19 N. Providence Road, Box 267, Wallingford, PA 19086 | 2013-12-31 |
| 1396052460 | Sabina Sharmeen | Internal Medicine | 1161, Putnam Boulovard, Wallingford, PA 19086 | 2010-09-09 |
| 1790922789 | Carol Lecleire | Dentist | 9 Dale Lane, Wallingford, PA 19086 | 2009-01-13 |
| 1104885995 | Wallingford-swarthmore Sd | Speech-Language Pathologist | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-03-21 |
| 1700841780 | Wallingford Swarthmore Sd | Clinic/Center | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-04-20 |
| 1477890317 | Alison S. Neuhaus | Lactation Consultant, Non-RN | 305 Dogwood Ln, Wallingford, PA 19086-6007 | 2013-01-11 |
| 1881648095 | Amir Katz | Physical Medicine & Rehabilitation | 303 Plush Mill Rd, Wallingford, PA 19086-6022 | 2006-05-20 |
| Find all providers in zip 19086 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686316 | Thomas Mansfield | Specialist/Technologist | 222 Brentwood Dr, Wallingford, CT 06492-4352 | 2020-07-19 |
| 1225545148 | Michael Richard Sampson | Specialist/Technologist | 61 N Plains Industrial Rd, Wallingford, CT 06492-5841 | 2017-12-30 |
| 1982110144 | Kurt Johnson | Specialist/Technologist | 10 Pond Ct, Wallingford, CT 06492-2142 | 2017-12-22 |
| 1912435835 | George Dechello IIi | Specialist/Technologist | 317 Harrison Rd, Wallingford, CT 06492-5407 | 2017-05-23 |
| 1326585589 | Meghan Castellano | Specialist/Technologist | 65 Kingsland Ave, Wallingford, CT 06492-3957 | 2017-01-26 |
| 1528437068 | Tyler Konopka | Specialist/Technologist | 2 Tennessee Ave, Wallingford, CT 06492-3017 | 2015-09-15 |
| 1659752269 | Alicia Marie Pike | Specialist/Technologist | 41 Jobs Rd, Wallingford, CT 06492-2531 | 2015-06-10 |
| 1609282557 | Kaitlin Fionna Leddy | Specialist/Technologist | 36 Waterford Way, Wallingford, PA 19086-7217 | 2014-07-10 |
| 1659706943 | Jason Luty | Specialist/Technologist | 205 S Providence Rd, Wallingford, PA 19086-6333 | 2013-09-05 |
| 1902022148 | Gary David Dormandy | Specialist/Technologist | 333 Christian Street, Choate Rosemary Hall, Wallingford, CT 06492 | 2007-04-17 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 19086 |
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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.