DR. ERIC JASON BUCHBAUM (NPI# 1952365652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952365652 |
| Entity Type | Individual |
| Full Name | DR. ERIC JASON BUCHBAUM |
| Credential | DPM |
| Practice Address |
1 High St Wakefield RI 02879-3103 |
| Practice Telephone | 4017891422 |
| Practice Fax Number | 4017826810 |
| Mailing Telephone | 4017891422 |
| Mailing Fax Number | 4017826810 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
DPM00302 | RI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GENERIC4 | 0000021254 | 01 | |
| GENERIC3 | 2382382 | 01 | |
| RI | HARVARD PILGRIM | AA69503 | 01 |
| GENERIC6 | 3916940001 | 01 | |
| MED EX GROUP # | 432037955 | 01 | |
| RI | AETNA HMO 1359024 | AETNA COM 7342159 | 01 |
| PR | UNITED HEALTH CARE | 204928511 | 01 |
| GENERIC7 | 480034977 | 01 | |
| RI | BLUE CHIP | 407225 | 01 |
| MED EX | ZDZ388 | 01 | |
| BLUE CHIP GROUP # | 407225 | 01 | |
| CIGNA | 5095486002 | 01 | |
| RI | 7009003 | 05 | |
| RI | BCBS | 0000031650 | 01 |
| RI | CAQH# | 11092609 | 01 |
| RI | NEIGHBORHOOD HEALTH RI | 4024 | 01 |
| RI | RAILROAD MEDICARE | SSN#-TAX ID# 2049285 | 01 |
| RI | TRI CARE | PT SSN# | 01 |
| Street Address |
1 HIGH ST |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316900707 | Patrick Dean Glenn | Physical Therapist | 1 High St, Wakefield, RI 02879-3103 | 2006-04-08 |
| 1154977221 | Kelly L Murphy | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2019-08-14 |
| 1245891167 | Kayla Lynch | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2019-06-21 |
| 1508346925 | Kayla Marie Denis | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2018-08-15 |
| 1063999720 | Zachary Mitchell Hudson | Physician Assistant | 1 High St, Wakefield, RI 02879-1422 | 2018-07-25 |
| 1417449711 | Mercedes Marie Godin | Physician Assistant | 1 High St, Wakefield, RI 02879 | 2018-06-01 |
| 1710409214 | Ida Kruse | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2017-07-17 |
| 1073053187 | Katherine Fischer | Specialist/Technologist | 1 High St, Wakefield, RI 02879-3103 | 2017-03-08 |
| 1154788388 | Erin Marie Smith | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2016-01-19 |
| 1841668910 | Jarred Trouve | Physician Assistant | 1 High St, Wakefield, RI 02879-3103 | 2015-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972566644 | James Mccormick | Podiatrist | 24 Salt Pond Rd, Unit E1, Wakefield, RI 02879-4314 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619167905 | Podiatry Services Ltd | Podiatrist | 10 Summer St, Pawtucket, RI 02860-2107 | 2007-08-01 |
| 1518089606 | Thomas L Huott | Podiatrist | 282 County Road, Barrington, RI 02806-2412 | 2007-04-06 |
| 1669567962 | John C Bogue | Podiatrist | 19 Village Plaza Way, N. Scituate, RI 02857 | 2006-10-03 |
| 1669523098 | Advanced Foot Specialists, Inc | Podiatrist | 19 Village Plaza Way, N Scituate, RI 02857-1849 | 2007-01-14 |
| 1285690610 | Mark Warren Enander | Podiatrist | 333 School St, Suite 203, Pawtucket, RI 02860-5334 | 2006-04-25 |
| 1669472874 | Mark H Kuhar | Podiatrist | 10 Summer St, Pawtucket, RI 02860-2107 | 2005-07-29 |
Please comment or provide details below to improve the information on DR. ERIC JASON BUCHBAUM.
| 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.