Provider Demographics
NPI:1932132453
Name:JOSEPH J BUCHINO MD & ASSOCIATES PSC
Entity Type:Organization
Organization Name:JOSEPH J BUCHINO MD & ASSOCIATES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PATHOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BUCHINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-456-7075
Mailing Address - Street 1:PO BOX 7308
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-0308
Mailing Address - Country:US
Mailing Address - Phone:800-292-1387
Mailing Address - Fax:502-456-4440
Practice Address - Street 1:1625 N GEORGE MASON DR
Practice Address - Street 2:PATHOLOGY DEPT
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3683
Practice Address - Country:US
Practice Address - Phone:502-456-7075
Practice Address - Fax:502-456-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207ZC0500X, 207ZP0007X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathologyGroup - Multi-Specialty
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic PathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1022OtherCAREFIRST BCBS WASH DC
MD458901700Medicaid
1305167OtherUNITED MINE WORKERS
236152OtherMAMSI
VA290211OtherANTHEM BLUE CROSS BS
CC3214OtherRAILROAD MEDICARE
SCQPA099Medicaid
DC033006900Medicaid
236152OtherMDIPA
236152OtherOPTIMUM CHOICE
MD458901700Medicaid
236152OtherMDIPA