Individual provider Active NPI

Michael John Buchenic IV, DO

  • Internal Medicine Physician
  • Columbiana, OH
National Provider Identifier
1124608278
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34017528 Issued in OH
Practice address
400 Town Center Ave Ste 301
Columbiana, OH 44408-8312
Phone
(330) 482-3871
Fax
(330) 482-0133
NPI assigned
Apr 13, 2021
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34017528 OH Primary

Addresses

Primary practice location

400 Town Center Ave Ste 301
Columbiana, OH 44408-8312

Mailing address

400 Town Center Ave Ste 301
Columbiana, OH 44408-8312
Phone (330) 482-3871

Other practice location 1

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-1551

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.buchenic@salemregional.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203003894 OH Practitioner - Internal Medicine 9335541283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie Col of Osteopathic Medicine, Bradenton, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

1995 E State St
Salem, OH 44460-2423
Phone (330) 332-7672

400 Town Ctr Ave
Columbiana, OH 44408-8305

750 E Park Ave
Columbiana, OH 44408-1448
Phone (330) 892-0442

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34017528OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCH Professional Corporation Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

400 Town Center Ave
Ste 301
Columbiana, OH 44408
Phone (330) 482-3871

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

10850 Mahoning Ave
North Jackson, OH 44451
Phone (330) 331-4966

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

1995 E State St
#1
Salem, OH 44460

910 Boardman Canfield Rd
Ste B
Youngstown, OH 44512
Phone (330) 965-0075

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1124608278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWN CENTER AVE STE 301",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088312",
            "telephone_number": "330-482-3871",
            "fax_number": "330-482-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWN CENTER AVE STE 301",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088312",
            "telephone_number": "330-482-3871",
            "fax_number": "330-482-0133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 E State St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444602423",
            "country_code": "US",
            "telephone_number": "330-332-1551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHENIC",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34017528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.buchenic@salemregional.medicity.net",
            "affiliation": "N",
            "address_1": "400 Town Center Ave Ste 301",
            "city": "Columbiana",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444088312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

Verify at the official NPI Registry.