MR. DEREK JAMES BUCHANAN (NPI# 1710048335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710048335 |
| Entity Type | Individual |
| Full Name | MR. DEREK JAMES BUCHANAN |
| Practice Address |
925 Sw Taylor St Portland OR 97205-2503 |
| Practice Telephone | 5032282154 |
| Practice Fax Number | 5032284694 |
| Mailing Telephone | 5032282154 |
| Mailing Fax Number | 5032284694 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
NOT APPLICABLE | OR | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
NOT APPLICABLE | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MESO | TIN CONFIDENTIAL | 01 |
| OR | 049424 | 05 | |
| OR | REGENCE BCBS PROVIDER # | 838474000 | 01 |
| OR | PACIFIC SOURCE PROVIDER # | J6344 | 01 |
| OR | EYEMED PROVIDER # | OP1880 | 01 |
| OR | CARE OREGON PROVIDER | TIN CONFIDENTIAL | 01 |
| OR | ODS HEALTH PLAN | TIN CONFIDENTIAL | 01 |
| OR | VOCATIONAL REHAB VENDOR # | 1931129593 | 01 |
| OR | 278184 | 05 | |
| OR | SUPERIOR VISION | TIN CONFIDENTIAL | 01 |
| OR | LIFEWISE | TIN CONFIDENTIAL | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104379502 | Derek Buchanan | Physician Assistant | 501 Billingsley Rd, Ste B, Charlotte, NC 28211-1009 | 2016-08-02 |
| Street Address |
925 SW TAYLOR ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306092416 | Rhonda Marie Nienburg | Technician/Technologist | 925 Sw Taylor St, Portland, OR 97205-2503 | 2008-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619530524 | Christopher Morgan Wheaton | Technician/Technologist | 93 Washington Ave Unit 2, Portland, ME 04101-2618 | 2019-04-16 |
| 1609108968 | Kathy Haywood | Technician/Technologist | 1017 Northcliff Dr, Portland, TX 78374-1918 | 2010-02-10 |
| 1508006040 | America's Best Contacts & Eyeglasses | Technician/Technologist | 539 Sw 3rd Ave, Portland, OR 97204-2501 | 2009-02-24 |
| 1669621207 | Reynolds Optical | Technician/Technologist | 800 Sw Alder, Portland, OR 97205-3107 | 2008-09-18 |
| 1235306911 | Amy Roseanne Skucas | Technician/Technologist | 500 Multnomah St, Suite 100, Portland, OR 97232 | 2008-05-13 |
| 1497926463 | Hallmark Opticians | Technician/Technologist | 1911ne Broadway, Portland, OR 97232-1501 | 2008-03-18 |
| 1922139054 | Sandra Gillgam | Technician/Technologist | 11703 Ne Glisan St, Portland, OR 97220-2141 | 2007-03-08 |
| 1053455782 | Keeoli Corp Dba Vipeyes | Technician/Technologist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2007-02-16 |
| 1245385160 | Charles Marshall | Technician/Technologist | 1911 Ne Broadway St, Portland, OR 97232-1501 | 2007-01-23 |
| 1205984630 | Weller Inc | Technician/Technologist | 2933 E Burnside St, Portland, OR 97214-1831 | 2007-01-08 |
| Find all providers in PORTLAND | ||||
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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.