Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Larry R Buckley, PA-C, MPA
Physician Assistant in Rolla, MO · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1356330542
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Registry record
Entity type Individual (Type 1)
Name Mr. Larry R Buckley
Credential PA-C, MPA
Sex Male
Practice address 600 Blues Lake Pkwy, Rolla, MO, 65401
Phone (573) 364-8822
Fax (573) 341-5969
Enumeration date Oct 19, 2005
Last updated in NPPES Nov 17, 2009
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 112148 (MO) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Larry Buckley?
Larry Buckley is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-11-17.