Individual
CAITRIONA ANN MARY BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD # UH4903, INDIANAPOLIS, IN 46202-5149
(317) 948-2894
(317) 944-4224
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01079171A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036121892
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0057184
MD
207RP1001X
Pulmonary Disease Physician
01079171A
IN
207RP1001X
Pulmonary Disease Physician
036121892
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034830200
—
DC
05
—
036121892
—
IL
01
—
1617373
BCBS OF IL
IL
01
—
19460024
CAREFIRST BCBS
DC
01
—
206147
MEDICARE PTAN (GROUP)
—
05
—
300005991
—
IN
05
—
415096100
—
MD
01
—
61038502
CAREFIRST BCBS
MD
01
—
CA4748
MEDICARE RAILROAD PTAN (GROUP)
—
01
—
P00924094
MEDICARE RAILROAD PTAN (INDIVIDUAL)
—
01
—
T01596
MEDICARE PTAN (INDIVIDUAL)
—
Enumeration date
05/04/2006
Last updated
03/16/2025
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