MEDICARE: TAYLOR AUSTIN BUUCK 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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	MD.MD.61682107	WA
2	207X00000X	Orthopaedic Surgery Physician	4351046503	MI

General Provider Information

NPI Number	:	1699303743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR AUSTIN BUUCK MD

Provider Business Mailing Address
First Line	:	PO BOX 354060
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-4060
Country	:	US
Telephone Number	:	206-598-3294
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 MONTLAKE BLVD
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-2531
Country	:	US
Telephone Number	:	206-520-5000
Fax Number	:

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

Provider Enumeration Date	:	04/01/2020
Last Update Date	:	06/30/2025

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