Provider Demographics
NPI:1669884623
Name:BUSCHER, JAMES F (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:BUSCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:BUSCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1600 SW ARCHER ROAD PO BOX 100296
Mailing Address - Street 2:PEDIATRIC MEDICAL EDUCATION
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0296
Mailing Address - Country:US
Mailing Address - Phone:352-273-8234
Mailing Address - Fax:352-273-8593
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:PEDIATRIC MEDICAL EDUCATION
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0296
Practice Address - Country:US
Practice Address - Phone:352-273-8234
Practice Address - Fax:352-273-8593
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME130991208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIZ638ZOtherMEDICARE PTAN
FL021108000Medicaid