Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH JAMES BUSCH, M.D.
Deactivated Sole ProprietorDR. KENNETH JAMES BUSCH, M.D. is a Obstetrics & Gynecology healthcare provider located in TEMPE, Arizona. NPI 1063404200 is deactivated in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · TEMPE, AZ
This NPI has been deactivated.
The record was deactivated on March 22, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1063404200
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 15, 2005 (0.6 yrs)
- Last Updated
- Dec 13, 2012
- Deactivated
- Mar 22, 2006
- License
-
8573 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2119 E SOUTHERN AVETEMPE, AZ, 852827503Browse AZ providers · Browse ZIP 85282
- Phone
- 4808311844
- Fax
- 4803832685
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in TEMPE, AZ
| Name | Credential | NPI |
|---|---|---|
| ADAM BRETT ALPERIN | MD | 1588669584 |
| TIERSA HW DAMORE | MD | 1114922119 |
| CANDACE LEW | MD | 1003811001 |
| DR. EDWARD D SZMUC | M.D. | 1205837861 |
| LISA RENEE HOLLAR | M.D. | 1457347452 |
| DR. ROGER B SEYMANN | M.D. | 1982679155 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.