BLAINE DAVID BUCHANAN (NPI# 1598132961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598132961 |
| Entity Type | Individual |
| Full Name | BLAINE DAVID BUCHANAN |
| Credential | PA |
| Practice Address |
225 E Wood St Spartanburg SC 29303-3050 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645604420 |
| Practice Fax Number | 8645605296 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3234 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TL3234 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0010-05930 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SCF5735019 | 01 |
| SC | 3204PA | 05 |
| Street Address |
225 E WOOD ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876374 | William Cuyler Calton Jr. | Surgery | 225 E Wood St, Spartanburg, SC 29303-3050 | 2005-07-26 |
| 1316335854 | Becky Williams | Nurse Practitioner | 225 E Wood St, Spartanburg, SC 29303-3050 | 2015-01-07 |
| 1558764654 | Christy Flores I | Nurse Practitioner | 225 E Wood St, Spartanburg, SC 29303-3050 | 2014-10-02 |
| 1982023339 | Christopher James Edenfield | Physician Assistant | 225 E Wood St, Spartanburg, SC 29303 | 2014-04-14 |
| 1841587797 | Ronald Howard Figura | Surgery | 225 E Wood St, Spartanburg, SC 29303 | 2011-06-29 |
| 1255635389 | Erica Rousseau Clark | Surgery | 225 E Wood St, Spartanburg, SC 29303-3050 | 2011-01-04 |
| 1124330014 | Susan Grizzard Peterson | Nurse Practitioner | 225 E Wood St, Spartanburg, SC 29303-3050 | 2010-07-08 |
| 1356537161 | Phillip Brent Reustle | Physician Assistant | 225 E Wood St, Spartanburg, SC 29303-3050 | 2007-09-15 |
| 1982803144 | Charles Jason Rousseau | Surgery | 225 E Wood St, Spartanburg, SC 29303-3050 | 2007-07-17 |
| 1730219205 | Scott Marion Hovis | Surgery | 225 E Wood St, Suite G, Spartanburg, SC 29303-3050 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209752 | Amanda Renee Leche | Physician Assistant | 1650 Skylyn Dr, Spartanburg, SC 29307-1047 | 2005-10-14 |
| 1750934485 | Chandler R Jones | Physician Assistant | 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 | 2019-07-22 |
| 1275055394 | Ashley Virginia Vanlandingham | Physician Assistant | 303 E Wood St, Spartanburg, SC 29303-3020 | 2017-07-11 |
| 1235679762 | Katelynn Amberly King | Physician Assistant | 480 Floyd Rd, Spartanburg, SC 29307-1518 | 2017-03-02 |
| 1093162950 | Landrie Fox Morris | Physician Assistant | 1330 Boiling Springs Rd, Suite 1600, Spartanburg, SC 29303-4201 | 2016-05-20 |
| 1164858569 | William Orgill Boyd IIi | Physician Assistant | 1330 Boiling Springs Rd, Suite 1600, Spartanburg, SC 29303-4201 | 2013-09-18 |
| 1447695200 | Joshua James Moore | Physician Assistant | 1075 Boiling Springs Rd, Spartanburg, SC 29303-2248 | 2013-05-07 |
| 1114178654 | Derek Joseph Freestone | Physician Assistant | 1330 Boiling Springs Rd, Suite 1600, Spartanburg, SC 29303-4201 | 2008-10-02 |
| 1649466483 | Rebecca Ulrich | Physician Assistant | 100 E Wood St, Suite 301, Spartanburg, SC 29303-3004 | 2007-09-14 |
| 1316043094 | Earl Lamar Laseter Jr. | Physician Assistant | 1330 Boiling Springs Rd, Suite 1600, Spartanburg, SC 29303-4201 | 2006-09-16 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on BLAINE DAVID BUCHANAN.
| 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.