JACOB KENNETH BUCCINI (NPI# 1821627795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821627795 |
| Entity Type | Individual |
| Full Name | JACOB KENNETH BUCCINI |
| Practice Address |
3824 N Elm St Ste 201 Greensboro NC 27455-2733 |
| Mailing Address |
1480 Town Creek Rd Eden NC 27288-8054 |
| Practice Telephone | 3365422015 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 14227 | NC | Speech, Language and Hearing Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 621 S Main St Ste 205, Reidsville, NC 273205034 | 3365422015 |
| Street Address |
3824 N ELM ST STE 201 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619033164 | Su Wooi Teoh | Otolaryngology | 3824 N Elm St Ste 201, Greensboro, NC 27455-2733 | 2006-12-29 |
| 1578101424 | Donna Marie Walton | Physical Therapist | 3824 N Elm St Ste 201, Greensboro, NC 27455-2733 | 2019-12-11 |
| 1164668505 | Su Wooi Teoh Md Pa | Otolaryngology | 3824 N Elm St Ste 201, Greensboro, NC 27455 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809191 | Marissa Lorraine Taylor | Audiologist | 1126 N Church St Ste 201, Greensboro, NC 27401-1036 | 2019-06-06 |
| 1467837468 | Atlanta Hearing Associates of Lake Oconee, LLC | Audiologist | 1051 Parkside Cmns, Suite 103, Greensboro, GA 30642-4516 | 2015-07-21 |
| 1740586650 | Alan Gregg Moore | Audiologist | 3 Veranda Ct, Greensboro, NC 27455-1270 | 2011-02-10 |
| 1346442217 | Oconee Hearing Center, LLC | Audiologist | 1041 Founders Row, Suite B, Greensboro, GA 30642-5260 | 2007-06-04 |
| 1194840710 | Deborah Lowery | Audiologist | 1800 Battleground Ave, Greensboro, NC 27408-7104 | 2007-03-20 |
| 1255482469 | Emil J Frymark | Audiologist | 529 College Rd, Suite B, Greensboro, NC 27410-5163 | 2007-01-15 |
| 1306939046 | William D Jones | Audiologist | 529 Ste B College Rd, Greensboro, NC 27410 | 2006-10-02 |
| 1235120007 | Lisa G Fox-thomas I | Audiologist | 300 Ferguson Bldg, Unc-greensboro, Greensboro, NC 27402-6170 | 2005-11-02 |
| 1780682930 | Susan L Phillips | Audiologist | 524 Highland Avenue, Greensboro, NC 27402-6170 | 2005-07-12 |
| 1841716065 | Michelle M Leroux Martinez | Audiologist | 1132 N Church St Ste 200, Greensboro, NC 27401-1040 | 2017-08-18 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
Please comment or provide details below to improve the information on JACOB KENNETH BUCCINI.
| 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.