JOHN JOSEPH BUCKLEY JR. M.D.
NPI 1114918133
Specialist in Boardman, OH

Q: What is John Buckley's NPI number?

The NPI number for John Buckley is 1114918133. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Q: What is John Buckley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for John Buckley was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 31, 2005PECOS Enrolled

935 TRAILWOOD DR, BOARDMAN, OH 44512(330) 758-8146(330) 758-1399 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Joseph Buckley Jr. M.d. NPPES

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

JOHN JOSEPH BUCKLEY JR. M.D. (NPI 1114918133) is an individual specialist in Boardman, Ohio, licensed in Ohio (3504815113) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114918133

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJOHN JOSEPH BUCKLEY JR.Credential: M.D.

Location Address935 TRAILWOOD DRBoardman, OH 44512-5062

Mailing Address33 Wildfern DrYoungstown, OH 44505-1661 · (330) 759-2048

Phone(330) 758-8146

Fax(330) 758-1399

Sole ProprietorYes

Enumeration DateOctober 31, 2005

Last NPPES UpdateMay 22, 2008

✔ NPI 1114918133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OH · 3504815113

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

935 TRAILWOOD DR, Boardman, OH 44512

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Other Identifiers 3

Medicare PIN0586981OH

Medicare UPINA14559OH

Medicaid0631169OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Joseph Buckley Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

ANTHONY P. KOULIANOS MD INC

Obstetrics & Gynecology (Obesity Medicine)

935 TRAILWOOD DR, SUITE A
YOUNGSTOWN, OH 44512

Mahoning County (330) 953-3204

JULIANNE DEMARTINO, M.D., LLC

Obstetrics & Gynecology

935 TRAILWOOD DR, SUITE A
BOARDMAN, OH 44512

Mahoning County (330) 629-2410

TERRI MCCAUGHTRY CNP

Nurse Practitioner (Family)

935 TRAILWOOD DR
YOUNGSTOWN, OH 44512

Mahoning County (330) 953-3204

JENNA RENEE ZORZI

Nurse Practitioner (Family)

935 TRAILWOOD DR
YOUNGSTOWN, OH 44512

Mahoning County (330) 953-3204

STEPHEN M BEGEZDA DDS MSD INC

Dentist (Orthodontics and Dentofacial Orthopedics)

935 TRAILWOOD DR
BOARDMAN, OH 44512

Mahoning County (330) 716-9091

DR. STEPHEN MICHAEL BEGEZDA DDS MSD

Dentist (Orthodontics and Dentofacial Orthopedics)

935 TRAILWOOD DR
BOARDMAN, OH 44512

Mahoning County (330) 726-9091

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 John Buckley's NPI number?

The NPI number for John Buckley is 1114918133. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is John Buckley located?

John Buckley practices at 935 Trailwood Dr, Boardman, OH 44512. The listed phone number is (330) 758-8146.

What is John Buckley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is John Buckley enrolled in Medicare?

Yes. John Buckley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Buckley was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.