Buckeye Physical Medicine and Rehab - Heath

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BUCKEYE PHYSICAL MEDICINE AND REHAB - HEATH

Practice address

838 S 30TH St
Heath, OH 43056-1254

Phone

(740) 522-6300

Fax

(740) 522-6308

NPI assigned

Jun 20, 2013

Organization subpart

No

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

Authorized official

Name

Karla Talledo

Title

Director of Operations

Phone

(614) 801-1307

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1396184511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 GARDEN CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232906",
            "telephone_number": "614-801-1307",
            "fax_number": "614-801-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561254",
            "telephone_number": "740-522-6300",
            "fax_number": "740-522-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE PHYSICAL MEDICINE AND REHAB - HEATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-20",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "TALLEDO",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "614-801-1307"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikki Dawn Bogue
• Bayley Bohn
• Mark Anthony Boyce Jr., DDS
• Bridging Connections II LLC
• Benjamin J Broyles, OTR/L
• Buckeye Valley Injury and Wellness
• Gayle Campbell, MA, CCC, SLP
• Reanna Campbell
• Natasha Carranza, PA
• Kimberly Castle

• General Practice Physician in Heath, OH
• Providers in Heath, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.