Provider Demographics
NPI:1598752115
Name:BUXTON, MARTIN N (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:N
Last Name:BUXTON
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 1:7101 JAHNKE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4017
Mailing Address - Country:US
Mailing Address - Phone:804-323-8282
Mailing Address - Fax:804-323-7046
Practice Address - Street 1:7101 JAHNKE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-323-8282
Practice Address - Fax:804-323-7046
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010341392084P0800X, 2084P0802X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
861112647OtherUBH
4076137OtherAETNA
307324OtherANTHEM
0803391MOtherOPTIMA
51324OtherCIGNA
VA007199228Medicaid
458102000OtherMAGELLAN
4076137OtherAETNA
0803391MOtherOPTIMA
307324OtherANTHEM