Basic Information
| Provider Information | |||||||||
| NPI: | 1730334368 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUCKS | ||||||||
| FirstName: | NATHAN | ||||||||
| MiddleName: | ERIC | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1803 MT. ROSE AVE | ||||||||
| Address2: | SUITE B3 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7178124092 | ||||||||
| Practice Location | |||||||||
| Address1: | 25 MONUMENT RD | ||||||||
| Address2: | SUITE 290 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174035073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178124090 | ||||||||
| FaxNumber: | 7178124092 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/24/2008 | ||||||||
| LastUpdateDate: | 06/30/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QS0010X | OS013818 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine |
ID Information
| ID | Type | State | Issuer | Description | 964171-01 | 01 | MD | CAREFIRST MD BCBS-WMG | OTHER | 30065732 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 2113967 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 037224200 | 05 | MD | MEDICAID | 102409618 | 05 | PA | MEDICAID | 1588862 | 01 | PA | GATEWAY-WMG | OTHER | 301085 | 01 | PA | UNISON | OTHER | 415749 | 01 | PA | UPMC-WMG | OTHER |