Active NPI
Yevgeniy Bukhman, DO
- Internal Medicine Physician
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34.012175
- Practice address
- 1320 Mercy Dr NW
Canton, OH 44708-2614 - Phone
- (330) 458-4146
- NPI assigned
- May 18, 2009
- Last updated
- May 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34.012175 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 036.141564 | IL |
Addresses
Primary practice location
1320 Mercy Dr NW
Canton, OH 44708-2614
Mailing address
1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 458-4190
Other names 1
- Eugene Bukhman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.141564 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current | Accepting new patients |
| Pri Chicago PLLC | Current | Accepting new patients | |
| Premiere Anesthesia Group LLC | Past | Accepting new patients |
Locations
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1055
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Elmhurst, IL
- NPI 1639822737
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
IL, Internal Medicine
-
- Certified Registered Nurse Anesthetist
- Park Ridge, IL
- NPI 1720467392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1336374503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 MERCY DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447082614",
"telephone_number": "330-458-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 MERCY DR NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447082614",
"telephone_number": "330-458-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUKHMAN",
"first_name": "YEVGENIY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-18",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34.012175",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.141564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EUGENE",
"last_name": "BUKHMAN",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.