Individual Healthcare Provider
Timothy J Bucklaew, PA
Provider's NPPES record last updated: March 25, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1407310741
- Primary Specialty
- Physician Assistant
- Practice Location
- Canandaigua, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 2:38 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (New York)
- 023245
Practice Locations
Practice Location
229 Parrish St Ste 100
Canandaigua, New York 14424-1791
Phone: (585) 394-1960
Additional Practice Location
2621 Culver Rd
Rochester, New York 14609-1746
Phone: (585) 295-5476
Fax: (585) 248-0567
Additional Practice Location
2115 Chili Ave
Rochester, New York 14624-3425
Phone: (585) 723-7600
Fax: (585) 247-0075
Additional Practice Location
50 Middle Rd
Henrietta, New York 14467-9312
Phone: (585) 723-7600
Fax: (585) 334-6373
Additional Practice Location
360 Linden Oaks Ste 100
Rochester, New York 14625-2814
Phone: (585) 723-3000
Fax: (585) 348-9389
Additional Practice Location
360 Linden Oaks Ste 200
Rochester, New York 14625-2814
Phone: (585) 366-2010
Fax: (585) 895-7267
Additional Practice Location
140 Cobblestone Court Dr
Victor, New York 14564-1045
Phone: (585) 922-9280
Fax: (585) 389-6099
Additional Practice Location
2410 Ridgeway Ave
Rochester, New York 14626-4114
Phone: (585) 723-3000
Fax: (585) 723-2895
Record Information
- Enumeration Date
- January 30, 2019
- Provider's NPPES Record Last Updated
- March 25, 2026
- Certification Date
- March 25, 2026
- NPISignal NPPES Dataset
- August 2026
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