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NPI Code Detail

MEDICARE: CALVERT RAYMOND BUSCH M.D.

MEDICARE: CALVERT RAYMOND BUSCH M.D.
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
1207RC0000XCardiovascular Disease Physician35043378OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4060053779OTHEROHRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000039027OTHEROHANTHEM
22153717OTHEROHAETNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
52501766OTHEROHUNITED HEALTHCARE

General Provider Information

NPI Number : 1023091501
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALVERT RAYMOND BUSCH M.D.
Provider Business Mailing Address
First Line : 1380 E STROOP RD
Second Line :
City : KETTERING
State : OH
Zip : 45429-4926
Country : US
Telephone Number : 937-293-3486
Fax Number : 937-293-3605
Provider Business Practice Location Address
First Line : 1380 E STROOP RD
Second Line :
City : KETTERING
State : OH
Zip : 45429-4926
Country : US
Telephone Number : 937-293-3486
Fax Number : 937-293-3605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 04/09/2018

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Directions to “ CALVERT RAYMOND BUSCH M.D.” Practice Location

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