Individual
DR. TIMOTHY J BUFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 E DIMOND BLVD STE 103, ANCHORAGE, AK 99515-2010
(907) 333-2133
Mailing address
1300 FRANKLIN AVE, SUITE 100, NORMAL, IL 61761-3592
(309) 268-3761
(309) 268-5620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-121749
IL
207Q00000X
Family Medicine Physician
145829
AK
207Q00000X
Family Medicine Physician
34007910
OH
207Q00000X
Family Medicine Physician
5101012318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000245783
ANTHEM
OH
01
—
04238
PARAMOUNT
OH
01
—
080191223
RRMC
OH
01
—
17-29002
UHC
OH
05
—
2357926
—
OH
05
—
36121749
—
IL
01
—
5715390
BLUE CROSS/ BLUE SHIELD
IL
01
—
5993729
AETNA
OH
Enumeration date
07/26/2005
Last updated
01/15/2024
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