Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790101525 Individual Practitioner Female Practitioner

Dr. Susan H. Buckner , MD

Pediatrics • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Susan Buckner, MD is a registered healthcare professional specializing in Pediatrics in Providence, RI. Practice services are available at 355 PRAIRIE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

355 Prairie Ave

Providence, RI 029051928

Telephone 4014440570
Fax 4014440427
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.3 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
165 Specialists

Practicing in Providence, RI (340 Statewide)

Telehealth Adoption Rate
0.6% 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

CMS Verified: 2023-12-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License RI MD15043

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TN 48331

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MA 258441

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX H4194

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003432212

Doctor of Medicine (M.D.)

NPI 1023472263

Master of Science

NPI 1053152678

Doctor of Dental Surgery

NPI 1063116416

Doctor of Medicine (M.D.)

Dr. Sumi Singh , MD

Internal Medicine

NPI 1073217865

Doctor of Medicine (M.D.)

Andrew Leukhardt , RN, CDOE

Registered Nurse - Diabetes Educator

NPI 1083449169

Registered Nurse, CDOE

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2023

Pediatrics (License #48331 in TN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2021

Pediatrics (License #MD15043 in RI)

NPI Profile Active June 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2015

Registered at 355 PRAIRIE AVE, PROVIDENCE, RI 029051928 (Tel: 4014440570)

📍
Updated Business Mailing Address June 17, 2015

Registered at 375 ALLENS AVE, PROVIDENCE, RI 029055010 (Tel: 4014440400)

👤
Provider Name / Credentials Updated June 17, 2015

Recorded as SUSAN BUCKNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2015

Pediatrics (License #MD15043 in RI)

🟢
Initial NPI Registration & Enumeration March 18, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Susan Buckner. Be the first to share your experience!

Sign in to leave a review for Dr. Susan Buckner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790101525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2014
Last Update: December 14, 2023
Sole Proprietor: Yes

Mailing Address

375 Allens Ave

Providence, RI 029055010

Phone: 4014440400

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.