1043233703 NPI number — DR. JOSEPH JOHN BUCHINO MD

Table of content: DR. JOSEPH JOHN BUCHINO MD (NPI 1043233703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043233703 NPI number — DR. JOSEPH JOHN BUCHINO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUCHINO
Provider First Name:
JOSEPH
Provider Middle Name:
JOHN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043233703
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/03/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7308
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22207-0308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-292-1387
Provider Business Mailing Address Fax Number:
502-456-4440

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1625 N GEORGE MASON DR
Provider Second Line Business Practice Location Address:
PATHOLOGY DEPT
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22205-3683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-558-5499
Provider Business Practice Location Address Fax Number:
703-558-6251
Provider Enumeration Date:
07/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  0101052192 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 006601774 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1100207 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 220017497 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 290301 . This is a "ANTHEM BLUE CROSS BS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 339539 . This is a "OPTIMUM CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 506845 . This is a "NATIONAL CAPITAL PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 490050CC70072 . This is a "SECTION 1011 MEDICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 033008500 , issued by the state of ( DC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 16699 . This is a "GEORGE WASHINGTON UNIV" identifier . This identifiers is of the category "OTHER".
  • Identifier: 962465316 . This is a "WORKERS COMP DC" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 1022-0001 . This is a "CAREFIRST BLUE CROSS BS" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 339539 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1305167 . This is a "UNITED MINE WORKERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 339539 . This is a "MDIPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 589902800 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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