MEDICARE: JAMES RAYMOND BUEHLER MD

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	200201562	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	891328U	OTHER	NC	MCD PROVIDER NUMBER

General Provider Information

NPI Number	:	1447269311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES RAYMOND BUEHLER MD

Provider Business Mailing Address
First Line	:	18 LAUREL DR # 1388
Second Line	:
City	:	SAPPHIRE
State	:	NC
Zip	:	28774-9610
Country	:	US
Telephone Number	:	828-743-6474
Fax Number	:

Provider Business Practice Location Address
First Line	:	16825 ROSMAN HWY
Second Line	:
City	:	LAKE TOXAWAY
State	:	NC
Zip	:	28747-9593
Country	:	US
Telephone Number	:	828-862-6900
Fax Number	:

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	07/09/2007

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