JOHN D BUCKLEY


Address: 2131 S 17th St, Wilmington, NC 28401-7407
Phone: 9103437000

JOHN D BUCKLEY (NPI# 1497804017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497804017
Entity Type Individual
Full Name JOHN D BUCKLEY
Credential CRNA
Practice Address 2131 S 17th St
Wilmington
NC 28401-7407
Mailing Address 144 E Lake Emerald Dr
Wilmington
NC 28411-9034
Practice Telephone 9103437000
Mailing Telephone 9106329422
Enumeration Date 2007-01-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 199713 NC Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOHN BUCKLEY

NPI Name Taxonomy Address Enumeration
1174968721 John Buckley Physical Therapy Assistant 1630 Hickory Lane, Sedalia, MO 65301 2013-05-08
1740408046 John Edwin Buckley Hearing Instrument Specialist 1 Woodbridge Ctr Ste 211, Woodbridge, NJ 07095-1159 2007-04-23
1912060179 John William Buckley Jr. Psychiatry & Neurology 5220 Long Green Rd, Glen Arm, MD 21057-9716 2006-12-19
1073673950 John Matthew Buckley Registered Nurse 735 19th Ave, Lake Como, NJ 07719-2902 2006-12-11
1205942745 John Edward Buckley Internal Medicine 51 West 84th Ave, Suite 210, Denver, CO 80260-4882 2006-08-21
1114918133 John Joseph Buckley Jr. Specialist 935 Trailwood Dr, Boardman, OH 44512-5062 2005-10-31
1578006540 John J Buckley Physician Assistant 123 Summer St, 7350, Worcester, MA 01608-1216 2016-11-23
1992121255 John Buckley Counselor 3540 W Douglas Ave, Wichita, KS 67203-5455 2014-03-11
1275882177 John Buckley Social Worker 3355 Bee Cave Rd, Suite 507, West Lake Hills, TX 78746-6775 2012-09-06
1841320645 John J Buckley Counselor 600 Spring Hill Ring Rd, Suite 108, West Dundee, IL 60118-7300 2007-03-07

Office Location

Street Address 2131 S 17TH ST
City WILMINGTON
State NC
Zip Code 28401-7407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992708747 Wilmington Anesthesiologists Pllc Anesthesiology 2131 S 17th St, Wilmington, NC 28401-7407 2005-05-24
1316548159 Thomas Martin Leighton Nurse Practitioner 2131 S 17th St, Wilmington, NC 28401-7407 2020-11-06
1902406176 Jeff Marsh Registered Nurse 2131 S 17th St, Wilmington, NC 28401-7407 2020-10-27
1629685664 Bobbie Sheatsley Nurse Anesthetist, Certified Registered 2131 S 17th St, Wilmington, NC 28401-7407 2020-09-24
1699393504 Megan Grogan Nurse Anesthetist, Certified Registered 2131 S 17th St, Wilmington, NC 28401-7407 2020-07-07
1215556550 Salman Khan Student in an Organized Health Care Education/Training Program 2131 S 17th St, Wilmington, NC 28401-7407 2020-04-15
1760001028 John William Miller Jr. Student in an Organized Health Care Education/Training Program 2131 S 17th St, Wilmington, NC 28401-7407 2020-04-15
1588283246 Amanda Kristin Briese Student in an Organized Health Care Education/Training Program 2131 S 17th St, Wilmington, NC 28401-7407 2020-04-13
1689293300 Broc D Astill Student in an Organized Health Care Education/Training Program 2131 S 17th St, Wilmington, NC 28401-7407 2020-04-13
1467071423 Siten Patel Student in an Organized Health Care Education/Training Program 2131 S 17th St, Wilmington, NC 28401-7407 2020-04-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275002461 Thrivetothrive, LLC Physical Therapist 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 2018-11-16
1841787454 Kevin Christopher Panebianco Family Medicine 1911 S 17th St Ste 130a, Wilmington, NC 28401 2018-04-18
1518472588 Michelle Bruin Family Medicine 415 S. 2nd Street, Wilmington, NC 28401 2017-12-12
1639617343 Anna Farwell Behavior Technician 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 2017-02-02
1588034144 Dimitri Zivko Pitovski Allergy & Immunology 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 2015-09-25
1629457007 Megan Havel Counselor 1512 E Lakeshore Drive, Wilmington, NC 28401 2015-05-19
1154709251 Lance Hutchens Dentist 1611 Doctors Cir, Wilmington, NC 28401 2015-05-11
1609281161 Diane Pittman Whitford Counselor 313 Walnut St., Wilmington, NC 28401 2014-06-24
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1740566546 Valerie Baars Pharmacist 2302 S 17th Street, Wilmington, NC 28401 2011-10-25
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588033450 Amy Landis Formyduval Nurse Anesthetist, Certified Registered 6404 Spicewood St, Wilmington, NC 28405-7756 2015-09-21
1942550728 Bryan Cole Chalk Nurse Anesthetist, Certified Registered 2131 S 17th Street, Wilmington, NC 28401 2012-09-19
1316210388 Anesthesia Care Associates Inc. LLC Nurse Anesthetist, Certified Registered 7 Madelyn Ave, Wilmington, DE 19803-3964 2012-02-21
1891020103 Jessica Lynn Jeffries Nurse Anesthetist, Certified Registered 5003 Lady Fern Ct, Wilmington, NC 28409-3976 2009-10-05
1780863068 John R Shulse Nurse Anesthetist, Certified Registered 1602 Physicians Dr Ste 104, Wilmington, NC 28401-7350 2007-11-02
1073652780 Sharon A Griffith Nurse Anesthetist, Certified Registered 807 W Main St, Wilmington, OH 45177-0868 2007-02-06
1073662839 Paula Kay Lavigne Nurse Anesthetist, Certified Registered 1415 Medical Center Dr, Wilmington, NC 28401 2007-01-10
1033142765 Cynthia Merrell Nurse Anesthetist, Certified Registered 2131 South 17th Street, Wilmington, NC 28401 2006-07-08
1902836059 Ellen Cosby Nurse Anesthetist, Certified Registered 2005 Limestone Rd, Suite 5, Wilmington, DE 19808-5505 2006-07-04
1518997626 Aleen Joy Wilker Nurse Anesthetist, Certified Registered 7th and Clayton Sts, 4th Floor Anesthesia, Wilmington, DE 19805 2006-07-04
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City WILMINGTON
Zip Code 28401

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Dataset Information

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.

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