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STEVEN M. BUCKLES D.O. P.C. NPI 1285755447


NPI Information

NPI: 1285755447
Provider Name: STEVEN M. BUCKLES D.O. P.C.

Doing Business As: AGAPE FAMILY MEDICINE CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3949 SHERMAN AVE
SAINT JOSEPH, MO
ZIP 64506
Phone: (816) 279-4882
Get Directions

STEVEN M. BUCKLES D.O. P.C. is a family medicine in Saint Joseph, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. STEVEN M. BUCKLES D.O. P.C. NPI is 1285755447. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Agape Family Medicine Clinic.

The provider's business location address is:

3949 SHERMAN AVE
SAINT JOSEPH, MO
ZIP 64506-649
Phone: (816) 279-4882
Fax: (816) 279-4008

The provider's authorized official is Steven Mark Buckles .
The authorized official title is Owner and has the following contact phone number (816) 279-4882.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 2/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine105609MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DD7089OTHERMISSOURIRAILROAD RETIREMENT BOARD
21001146903OTHERMISSOURICOMMUNITY HEALTH PLAN
3E22961MEDICARE UPINMISSOURI
421061107OTHERMISSOURIBLUE CROSS BLUE SHIELD
52324148OTHERMISSOURIAETNA
6S960000MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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