NPIMap

Organization Active NPI

Bucyrus Community Physicians Inc

  • Family Medicine Physician
  • Bucyrus, OH
National Provider Identifier
1114078029
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUCYRUS COMMUNITY PHYSICIANS INC
Practice address
629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone
(419) 562-4677
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Landrum
Title
Interim Ceo Bucyrus Community Hosp.
Phone
(419) 563-9311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

629 N Sandusky Ave
Bucyrus, OH 44820-1821

Mailing address

629 N. Sandusky Ave.
Bucyrus, OH 44820
Phone (419) 563-9391

Other identifiers 2

IdentifierTypeStateIssuer
DB6818OtherOHMEDICARE RAILROAD
2466460MedicaidOH

National Provider Directory

National Provider Directory

Locations

512 Hill St
Bucyrus, OH 44820
Phone (419) 562-8796

140 Hill St
Ste B
Bucyrus, OH 44820
Phone (419) 562-5281

140 Hill St
Ste C
Bucyrus, OH 44820
Phone (419) 562-4615

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1114078029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 N. SANDUSKY AVE.",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "44820",
            "telephone_number": "419-563-9391",
            "fax_number": "419-563-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201821",
            "telephone_number": "419-562-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCYRUS COMMUNITY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "INTERIM CEO BUCYRUS COMMUNITY HOSP.",
        "authorized_official_telephone_number": "419-563-9311"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DB6818",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2466460",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bucyrus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.