Provider Demographics
NPI:1013095272
Name:BUXTON, DOUGLAS F (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:F
Last Name:BUXTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:310 E 14TH STREET
Mailing Address - Street 2:ROOM 403
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4201
Mailing Address - Country:US
Mailing Address - Phone:212-979-4410
Mailing Address - Fax:212-353-5772
Practice Address - Street 1:310 E 14TH STREET
Practice Address - Street 2:ROOM 403
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4201
Practice Address - Country:US
Practice Address - Phone:212-979-4410
Practice Address - Fax:212-353-5772
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1567831207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4562530OtherAETNA
NY001064705007OtherUNITED HEALTHCARE
NY260177112OtherGREAT WEST HEALTHCARE
NY582A01OtherBLUE CROSS AND BLUE SHIELDS
NYMN0003103OtherAMERICHOICE
NS2197OtherOXFORD
NY10203578OtherAMERIGROUP
NY15678360NYOther1199
NY260177112OtherMAGNACARE
NY6C0429OtherHEALTHNET
NY01367546Medicaid
NY1000004291OtherAFFINITY HEALTH PLAN
NY156783B40OtherHEALTH FIRST 65
NY260177112OtherPHCS/MULTIPLAN
NY15678301OtherNEIGHBORHOOD
NY162439OtherGHI
NY1081833OtherCIGNA
NY163941OtherELDER PLAN
NYBD6783OtherATLANTIS
NY260177112OtherGREAT WEST HEALTHCARE
NY15678301OtherNEIGHBORHOOD