MEDICARE: SAMUEL BUCKWALTER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1912839119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL BUCKWALTER PA-C

Provider Business Mailing Address
First Line	:	22 LONG LN
Second Line	:
City	:	KIRKWOOD
State	:	PA
Zip	:	17536-9538
Country	:	US
Telephone Number	:	717-940-2127
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 N POINTE BLVD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4132
Country	:	US
Telephone Number	:	717-299-4871
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

Similar Medicare Providers

1508864562 — MS. ANNETTE M BIXLER OT
Practice Location Address:

170 N POINTE BLVD
LANCASTER, PA
17601-4132

Practice Phone: 717-299-4871
Practice Fax: 717-391-2494

1235121716 — ERIC L ZIMMERMAN PA-C
Practice Location Address:

170 N POINTE BLVD
LANCASTER, PA
17601-4132

Practice Phone: 717-299-4871
Practice Fax: 717-391-2494

1487645289 — GILBERT SUSSMAN MD
Practice Location Address:

140 N POINTE BLVD
LANCASTER, PA
17601-4132

Practice Phone: 717-560-4020
Practice Fax: 717-560-2919

1588643993 — ANTHONY LICATA M.D.
Practice Location Address:

140 N POINTE BLVD
LANCASTER, PA
17601-4132

Practice Phone: 717-291-0700
Practice Fax: 717-207-8626

1144290115 — DAVID CALDERONE DPM
Practice Location Address:

170 N POINTE BLVD
LANCASTER, PA
17601-4132

Practice Phone: 717-299-4871
Practice Fax: 717-391-2494

1992779052 — TRACIE KORTRIGHT
Practice Location Address:

170 N POINTE BLVD
LANCASTER, PA
17601-4132

Practice Phone: 717-299-4871
Practice Fax: 717-391-2494

Directions to “ SAMUEL BUCKWALTER PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.