DR. RENEE ELIZABETH BUSKIRK


Address: 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728
Phone: 2603738000

DR. RENEE ELIZABETH BUSKIRK (NPI# 1619275807) 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) 1619275807
Entity Type Individual
Full Name DR. RENEE ELIZABETH BUSKIRK
Credential PHD
Practice Address 11143 Parkview Plaza Dr Ste 207
Fort Wayne
IN 46845-1728
Mailing Address 3702 New Vision Dr Bldg B
Fort Wayne
IN 46845-1703
Practice Telephone 2603738000
Practice Fax Number 2602665379
Enumeration Date 2011-03-11
Last Update Date 2019-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 20041648A IN Behavioral Health & Social Service Providers

Office Location

Street Address 11143 PARKVIEW PLAZA DR STE 207
City FORT WAYNE
State IN
Zip Code 46845-1728

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447886924 Melinda Bauer Registered Nurse 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728 2020-03-17
1225548233 Shelly Barlow Registered Nurse 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728 2017-10-04
1851828933 Debra E White Registered Nurse 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728 2017-05-19
1659716330 Nida Aziz Anesthesiology 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845 2013-05-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881154110 Nancy Jean Ehmke Clinical Nurse Specialist 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 2019-03-22
1043703903 Kara Stackhouse Nurse Practitioner 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 2018-06-14
1871082412 Tara K Jellison Pharmacist 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 2018-05-09
1578097572 Forefront Dermatology, S.c. Dermatology 4020 New Vision Drive, Fort Wayne, IN 46845 2017-04-17
1811437999 Jessica Ann Lefever Behavioral Analyst 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 2017-03-08
1033668041 Bhi Home Care, Inc. In Home Supportive Care 820 Mill Lake Road, Fort Wayne, IN 46845 2016-10-03
1467814939 Austin Wyss Specialist/Technologist 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 2016-03-24
1154713584 Ashley Whitcraft Specialist/Technologist 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 2015-02-23
1275975682 Lakshmi Mohan Viji Das Internal Medicine 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 2013-07-26
1336482496 Mithun Mohana Shenoi Colon & Rectal Surgery 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 2013-03-27
Find all providers in zip 46845

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780681254 Frances R. Goff Clinical Neuropsychologist 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1730 2005-06-30
1972508471 Matthew Paul Ziccardi Clinical Neuropsychologist 2200 Randallia Dr, Fort Wayne, IN 46805 2005-06-20
1366911000 Margarita M Nogin Clinical Neuropsychologist 4306 E State Blvd, Fort Wayne, IN 46815-6915 2018-11-23
1699196519 Erin Miles Clinical Neuropsychologist 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 2013-12-19
1164860052 Jacob Thomas Lutz Clinical Neuropsychologist 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 2013-06-13
1689995334 Allied Physicians Inc Clinical Neuropsychologist 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2010-06-17
1669701793 Christina M. Stemmler Clinical Neuropsychologist 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 2009-12-21
1841524105 Nivonne Thompson Clinical Neuropsychologist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2009-09-18
1205098100 Allied Physicians Inc Clinical Neuropsychologist 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2008-07-01
1134241227 John J Brinkman Jr. Clinical Neuropsychologist 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2007-04-06
Find all providers in FORT WAYNE

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City FORT WAYNE
Zip Code 46845

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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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