Organization Active NPI

Buckeye Family Health LLC

  • Internal Medicine Physician
  • Lancaster, OH
National Provider Identifier
1407985724
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35 06 7069 P Issued in OH
Legal business name
BUCKEYE FAMILY HEALTH LLC
Practice address
1548 Sheridan Dr
Suite 200
Lancaster, OH 43130-1378
Phone
(740) 689-9860
Fax
(740) 689-9863
NPI assigned
Mar 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Douglas A Pope, M.D.NPI 1093786857
Title
Owner
Phone
(740) 689-9860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35 06 7069 P OH Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 35 06 7069 P OH

Addresses

Primary practice location

1548 Sheridan Dr
Suite 200
Lancaster, OH 43130-1378

Mailing address

1548 Sheridan Dr
Suite 200
Lancaster, OH 43130-1378
Phone (740) 689-9860

Other identifiers 1

IdentifierTypeStateIssuer
2243754MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120504000588 OH Part B Supplier - Clinic/Group Practice 2062408354 Receives reassigned benefits from 5 practitioners
Practice locations: Lancaster, OH

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
36D0933150Buckeye Family Health LLC1548 Sheridan Drive Suite 200, Lancaster, OH 43130Provider-performed microscopyAug 25, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1407985724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 SHERIDAN DR",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301378",
            "telephone_number": "740-689-9860",
            "fax_number": "740-689-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 SHERIDAN DR",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301378",
            "telephone_number": "740-689-9860",
            "fax_number": "740-689-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-689-9860",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35 06 7069 P",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35 06 7069 P",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2243754",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.