NPIMap

Organization Active NPI

Buckeye OB/GYN Inc.

  • Obstetrics & Gynecology Physician
  • Grove City, OH
National Provider Identifier
1427206432
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-074253 Issued in OH
Legal business name
BUCKEYE OB/GYN INC.
Practice address
1897 Ohio Dr
Grove City, OH 43123-4839
Phone
(614) 875-1721
Fax
(614) 820-2337
NPI assigned
Sep 3, 2008
Last updated
Nov 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Dr. Bonnie Siera Corley, M.D.NPI 1649259417
Title
Owner
Phone
(614) 875-1721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-088486 OH
Obstetrics & Gynecology Physician 207V00000X 35-074253 OH Primary

Addresses

Primary practice location

1897 Ohio Dr
Grove City, OH 43123-4839

Mailing address

1897 Ohio Dr
Grove City, OH 43123-4839
Phone (614) 875-1721

Other identifiers 2

IdentifierTypeStateIssuer
2731986MedicaidOH
2578581MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1427206432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 OHIO DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234839",
            "telephone_number": "614-875-1721",
            "fax_number": "614-820-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 OHIO DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234839",
            "telephone_number": "614-875-1721",
            "fax_number": "614-820-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE OB/GYN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "SIERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-875-1721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-088486",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-074253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2731986",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2578581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.