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

Dr. Susan H. Buckner, MD

Individual provider Pediatrics Physician · NPI 1790101525

Dr. Susan H. Buckner, MD is a Pediatrics Physician in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Massachusetts, Rhode Island, Tennessee and Texas.

Licensed in
MA, RI, TN, TX
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Prairie Ave
Providence, RI 02905-1928
Phone: (401) 444-0570
Fax: (401) 444-0427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD15043 (RI)
Pediatrics Physician Taxonomy 208000000X · Licence 48331 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence 258441 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence H4194 (TX)

Record details

NPI number1790101525
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 18, 2014
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

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