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MARY BUCKNAM P.A.
NPI 1104906726
Physician Assistant - Medical in Ithaca, NY

Active since October 17, 2006
1301 TRUMANSBURG RD, SUITE H, ITHACA, NY 14850(607) 272-6880(607) 272-1436 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Bucknam P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BUCKNAM P.A. (NPI 1104906726) is an individual medical provider in Ithaca, New York, licensed in New York (0032601) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104906726
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY BUCKNAMCredential: P.A.
Location Address1301 TRUMANSBURG RD, SUITE HIthaca, NY 14850-1397
Mailing Address1301 Trumansburg Rd, Suite HIthaca, NY 14850-1397 · (607) 272-6880 · Fax (607) 272-1436
Phone(607) 272-6880
Fax(607) 272-1436
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104906726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 0032601
1301 TRUMANSBURG RD, Ithaca, NY 14850
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Other Identifiers 1

Medicaid02060933NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER KIRTLAND HOBLER RSA-O, OPA-C, ATC
Specialist
1301 TRUMANSBURG RD, SUITE R
ITHACA, NY 14850
Tompkins County (607) 272-7000
MR. CHRISTOPHER L PECK P.A.
Physician Assistant (Surgical)
1301 TRUMANSBURG RD, STE E
ITHACA, NY 14850
Tompkins County (607) 273-3161
MR. ARTHUR RICHARD GEORGE RPAC
Physician Assistant
1301 TRUMANSBURG RD, SUITE R
ITHACA, NY 14850
Tompkins County (607) 272-7000
ORTHOPEDIC SURGERY & SPORTS MEDICINE PC
Orthopaedic Surgery
1301 TRUMANSBURG RD, SUITE R
ITHACA, NY 14850
Tompkins County (607) 272-7000
DR. SANJEEV VOHRA MD
Urology
1301 TRUMANSBURG RD, SUITE M
ITHACA, NY 14850
Tompkins County (607) 273-8502
ERIN LOVEJOY PA-C
Physician Assistant
1301 TRUMANSBURG RD, SUITE R
ITHACA, NY 14850
Tompkins County (607) 272-7000
CAROLYN KOPPEL N.P.
Nurse Practitioner (Pediatrics)
1301 TRUMANSBURG RD, SUITE H
ITHACA, NY 14850
Tompkins County (607) 272-6880
ANDREA BETH SHARKNESS
Nurse Practitioner (Pediatrics)
1301 TRUMANSBURG RD, SUITE H
ITHACA, NY 14850
Tompkins County (607) 272-6880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bucknam's NPI number?

The NPI number for Mary Bucknam is 1104906726. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Mary Bucknam located?

Mary Bucknam practices at 1301 Trumansburg Rd Suite H, Ithaca, NY 14850. The listed phone number is (607) 272-6880.

What is Mary Bucknam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mary Bucknam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.