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Active NPI 1356330542 Individual Practitioner Male Practitioner

Larry R Buckley , PA-C, MPA

Physician Assistant • Rolla, MO

Professional Overview & Biography Verified Profile Summary

Larry Buckley, PA-C, MPA is a registered healthcare professional specializing in Physician Assistant in Rolla, MO. Practice services are available at 600 BLUES LAKE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Blues Lake Pkwy

Rolla, MO 654018022

Telephone 5733648822
Fax 5733415969
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rolla, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Rolla, MO (1802 Statewide)

Telehealth Adoption Rate
0.0% 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

State License MO 112148

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

15 Associated Practitioners
NPI 1003494899

Doctor of Osteopathic Medicine (D.O.)

Alyssa Bland , FNP-C

Nurse Practitioner - Family

NPI 1033041371

Family Nurse Practitioner (Certified)

NPI 1225058167

Doctor of Medicine (M.D.)

Natasha Freeman , MS, FNP-C

Nurse Practitioner - Family

NPI 1265272777

Master of Science, Family Nurse Practitioner (Certified)

NPI 1447442678

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Dr. Mary Bruns , DO

Family Medicine

NPI 1497773618

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 17, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2009

Registered at 600 BLUES LAKE PKWY, ROLLA, MO 654018022 (Tel: 5733648822)

📍
Updated Business Mailing Address November 17, 2009

Registered at 600 BLUES LAKE PKWY, ROLLA, MO 654018022 (Tel: 5733648823)

👤
Provider Name / Credentials Updated November 17, 2009

Recorded as LARRY BUCKLEY, PA-C, MPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2009

Physician Assistant (License #112148 in MO)

🟢
Initial NPI Registration & Enumeration October 19, 2005

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: 1356330542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2005
Last Update: November 17, 2009
Sole Proprietor: No

Mailing Address

600 Blues Lake Pkwy

Rolla, MO 654018022

Phone: 5733648823

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.