Provider Demographics
NPI:1639173131
Name:BUCHER, RODNEY SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:SCOTT
Last Name:BUCHER
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 1:10585 N MERIDIAN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1066
Mailing Address - Country:US
Mailing Address - Phone:317-571-1501
Mailing Address - Fax:317-571-4806
Practice Address - Street 1:10585 N MERIDIAN ST STE 100
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46290-1066
Practice Address - Country:US
Practice Address - Phone:317-571-1501
Practice Address - Fax:317-571-4806
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060046A207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01190742OtherRAILROAD MEDICARE
INP00229999OtherRAILROAD MEDICARE
IN201128600Medicaid
IN201128600Medicaid
INP00229999OtherRAILROAD MEDICARE
H89865Medicare UPIN