Buckeye Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BUCKEYE CLINIC

Practice address

3121 W Broad St
Columbus, OH 43204-1306

Phone

(614) 869-2002

NPI assigned

Mar 25, 2021

Organization subpart

Yes

Parent organization

BUCKEYE CLINICAs reported in NPPES

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

Authorized official

Name

Manoj Sinha

Title

Manager/ Owner

Phone

(614) 792-6242

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Buckeye Clinic

  • Clinical Medical Laboratory
  • Dublin, OH
  • NPI 1154823953

  O20190314001368

  Same enrollment
• Buckeye Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1174115034

  O20190314001368

  Same enrollment
• Buckeye Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
  • NPI 1366992893

  O20190314001368

  Same enrollment

Tax ID family

Buckeye Clinic3 organizations share this tax ID, including this one

Part of

Buckeye Clinic

Other organizations with this tax ID 2

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

• Buckeye Clinic

  • Clinical Medical Laboratory
  • Dublin, OH
  • NPI 1154823953
  NPD tax ID
• Buckeye Clinic

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
  • NPI 1366992893
  NPD tax ID

Locations

Practitioners 4

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

• Barbara A. Driscoll, APRN-CNP

  • Nurse Practitioner
  • Columbus, OH
  • NPI 1700340999
  NPD
• Courtney Wilder-Whiting, FNP-C, PMHNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1346600558
  NPD
• Sudhir Dubey, PSYD

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1609835768
  NPD (past)
• Christina Jane Duffey, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1790296549
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1366029415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 AVERY MUIRFIELD DRIVE",
            "address_2": "SUITE 103",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167180",
            "telephone_number": "614-534-1100",
            "fax_number": "614-792-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041306",
            "telephone_number": "614-869-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "OH",
            "postal_code": "431408567",
            "country_code": "US",
            "telephone_number": "614-901-0844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 Sawbury Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432353079",
            "country_code": "US",
            "telephone_number": "614-534-1100",
            "fax_number": "614-792-6240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6805 Avery Muirfield Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430167182",
            "country_code": "US",
            "telephone_number": "614-534-1100",
            "fax_number": "614-792-6240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUCKEYE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BUCKEYE CLINIC",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "SINHA",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "MANAGER/ OWNER",
        "authorized_official_telephone_number": "614-792-6242"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Buckeye Allergy
• Buckeye Allergy
• Buckeye Allergy
• Buckeye Best Community Day Center, LLC
• Buckeye Clinic
• Buckeye Clinic
• Buckeye Comfort Care
• Buckeye Community Health Plan, Inc.
• Buckeye Family Medicine Inc
• Buckeye Family Medicine Inc

• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.