NPIMap

Organization Active NPI

Buckeye Clinic

  • Clinical Medical Laboratory
  • Dublin, OH
National Provider Identifier
1154823953
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BUCKEYE CLINIC
Doing business as
Buckeye Clinic
Practice address
6805 Avery Muirfield Dr Ste 103
Dublin, OH 43016-7182
Phone
(614) 534-1100
NPI assigned
Mar 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Authorized official

Name
Manoj Sinha
Title
Director
Phone
(614) 792-6242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6805 Avery Muirfield Dr Ste 103
Dublin, OH 43016-7182

Mailing address

6805 Avery Muirfield Dr Ste 103
Dublin, OH 43016-7182
Phone (614) 534-1100

Other names 1

  • Buckeye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314001368 OH Part B Supplier - Clinic/Group Practice 7810237666 Receives reassigned benefits from 15 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2083495Buckeye Clinic6805 Avery Muirfield Drive, Suite #103, Dublin, OH 43016ComplianceOct 19, 2027

National Provider Directory

National Provider Directory
Tax ID family
Buckeye Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3079 W Broad St
Columbus, OH 43204
Phone (216) 414-4940

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1154823953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 AVERY MUIRFIELD DR STE 103",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167182",
            "telephone_number": "614-534-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 AVERY MUIRFIELD DR STE 103",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167182",
            "telephone_number": "614-534-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "SINHA",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-792-6242"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.