Buckeye Foot Care

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BUCKEYE FOOT CARE

Practice address

5105 Som Center Rd Ste 102
Willoughby, OH 44094-4203

Phone

(216) 267-0304

Fax

(216) 267-4932

NPI assigned

Jun 24, 2020

Organization subpart

No

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

Authorized official

Name

Howard Myles Kimmel, DPM

Title

Owner

Phone

(216) 267-0304

Specialties & licenses 1

Addresses

Tax ID family

Buckeye Foot Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Buckeye Foot Care

  • Podiatrist
  • Brookpark, OH
  • NPI 1093893380
  NPD tax ID

Practitioners 2

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

• Catherine Brigid Hegarty, DPM

  • Podiatrist
  • Parma, OH
  • NPI 1174526818
  NPD
• Nancy A Domanowski, DPM

  • Podiatrist
  • Brookpark, OH
  • NPI 1366523276
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1275159345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 SNOW RD STE 102",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422583",
            "telephone_number": "216-267-0304",
            "fax_number": "216-267-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 SOM CENTER RD STE 102",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944203",
            "telephone_number": "216-267-0304",
            "fax_number": "216-267-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FOOT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "KIMMEL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "MYLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-267-0304",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyeisha Marie Brown
• Richard Alan Brunner, PHD
• Travis Thomas Brunson, RN
• Paul Brzozowski, M.D.
• Buckeye Chiropractic Clinic Inc
• Craig David Buckley
• Colette A Bukowski, LPCC
• Frances Bull
• Mark Edward Bumpus, RPH.
• April Burkett

• Podiatrist in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.