Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stacie Lynn Buck, DPM

Individual provider Podiatrist · NPI 1073812251

Dr. Stacie Lynn Buck, DPM is a Podiatry in Newport News, Virginia. Graduated from Kent State University College of Podiatric Medicine in 2009, 17 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
17
Trained at
Kent State University College of Podiatric Medicine
Licensed in
VA
In the registry since
2011
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

11751 Rock Landing Dr Ste 6
Newport News, VA 23606-4233
Phone: (757) 327-0657
Fax: (757) 240-5096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Dixon St, Fredericksburg, VA 22401-7229 — (540) 374-5261

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 0103301063 (VA)

Record details

NPI number1073812251
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedMarch 27, 2011
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2009 (17 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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