Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 04-32877 | KS |
N | 207XS0106X | Orthopaedic Hand Surgeon | 16423 | NE |
N | 207XS0106X | Orthopaedic Hand Surgeon | 22803 | OK |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 9188 | SD |
NPI | 1063403962 |
---|---|
Provider Name | Dr. Mark T. Buchman |
First Address | Rapid City, SD 57701-7350 |
Second Address | Spearfish, SD 57783-3204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 27/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00056 | BCBS (01) | NE |
253620 | MIDLANDS CHOICE (01) | |
E38197 | (02) | |
P00396968 | RAILROAD MEDICARE (01) |