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

Individual provider Neonatal Nurse Practitioner · NPI 1174173066

Timothy Austin Buxman is a Neonatal Nurse Practitioner in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-9912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Intensive Care Registered Nurse (primary) Taxonomy 163WN0002X · Licence 2016014841 (MO)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence 0 (MO)

Record details

NPI number1174173066
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 12, 2019
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020
Mailing address11490 Double T Ln, Bridgeton, MO 63044-2901

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