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Deactivated NPI 1649241373 Deactivated / Inactive NPI Male Practitioner

Jeffrey K Buckingham , PA-C

Physician Assistant • Peoria, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeffrey Buckingham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2006
NPI Deactivation Date January 17, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Jeffrey Buckingham, PA-C was a registered Physician Assistant practicing in Peoria, IL. Throughout an active medical career spanning 18 years, Jeffrey Buckingham provided care at the practice location at 7301 N KNOXVILLE AVE until profile deactivation on 2024-01-17.

Practice Location & Contact Primary Location

Practice Address

7301 N Knoxville Ave

Peoria, IL 616142017

Telephone 3095895900
Fax 3096834120
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
96 Specialists

Practicing in Peoria, IL (4958 Statewide)

Telehealth Adoption Rate
10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Holly Demichelis , MA

Audiologist-Hearing Aid Fitter

NPI 1013988427

Master of Arts

Tina Leman , MS

Audiologist

NPI 1114703022

Master of Science

Sheila Delk , MS

Audiologist

NPI 1114997558

Master of Science

NPI 1134739931

Doctor of Audiology

Julie Sidak , MS

Audiologist-Hearing Aid Fitter

NPI 1316911589

Master of Science

NPI 1336181189

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 17, 2024

Record deactivated on January 17, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7301 N KNOXVILLE AVE, PEORIA, IL 616142017 (Tel: 3095895900)

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Updated Business Mailing Address July 08, 2007

Registered at 7301 N KNOXVILLE AVE, PEORIA, IL 616142017 (Tel: 3095895900)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEFFREY BUCKINGHAM, PA C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

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Initial NPI Registration & Enumeration January 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649241373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2006
Last Update: July 08, 2007
Deactivation Date: January 17, 2024

Mailing Address

7301 N Knoxville Ave

Peoria, IL 616142017

Phone: 3095895900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.