Provider Demographics
NPI:1730334368
Name:BUCKS, NATHAN ERIC (DO)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:ERIC
Last Name:BUCKS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-851-6969
Practice Address - Street 1:2319 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5009
Practice Address - Country:US
Practice Address - Phone:717-812-4090
Practice Address - Fax:717-741-3554
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013818207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2113967OtherHIGHMARK BLUE SHIELD
PA30065732OtherAMERIHEALTH MERCY-WMG
MD964171-01OtherCAREFIRST MD BCBS-WMG
PA415749OtherUPMC-WMG
PA102409618Medicaid
PA1588862OtherGATEWAY-WMG
MD037224200Medicaid
PA301085OtherUNISON
PA30065732OtherAMERIHEALTH MERCY-WMG
PA1588862OtherGATEWAY-WMG