Provider Demographics
NPI:1538160171
Name:BUCHANAN, JAMES E (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2653 COUNTY ROAD 60
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-9511
Mailing Address - Country:US
Mailing Address - Phone:260-925-3321
Mailing Address - Fax:
Practice Address - Street 1:2653 COUNTY ROAD 60
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-9511
Practice Address - Country:US
Practice Address - Phone:260-925-3321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-04
Last Update Date:2022-11-16
Deactivation Date:2022-07-29
Deactivation Code:
Reactivation Date:2022-11-16
Provider Licenses
StateLicense IDTaxonomies
IN01031145A207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN080005252OtherRAILROAD MEDICARE
IN191560FMedicare PIN
INC24576Medicare UPIN
IN100103940Medicaid