NPIMap

Organization Active NPI

Buckeye Physical Medicine and Rehab - Hilliard

  • General Practice Physician
  • Hilliard, OH
National Provider Identifier
1568899862
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BUCKEYE PHYSICAL MEDICINE AND REHAB - HILLIARD
Practice address
4492 Cemetery Rd
Hilliard, OH 43026-1103
Phone
(614) 771-7500
Fax
(614) 771-6999
NPI assigned
Oct 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4492 Cemetery Rd
Hilliard, OH 43026-1103

Mailing address

3696 Garden CT
Grove City, OH 43123-2906
Phone (614) 277-1248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131202001015 OH Part B Supplier - Clinic/Group Practice 2365678018 Receives reassigned benefits from 8 practitioners
Practice locations: Hilliard, OH

National Provider Directory

National Provider Directory

Locations

3696 Garden Ct
Grove City, OH 43123

Practitioners & affiliated clinicians

Practitioners 11

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": "1380585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1568899862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 GARDEN CT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232906",
            "telephone_number": "614-277-1248",
            "fax_number": "614-801-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4492 CEMETERY RD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261103",
            "telephone_number": "614-771-7500",
            "fax_number": "614-771-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE PHYSICAL MEDICINE AND REHAB - HILLIARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "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": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.