NPIMap

Organization Active NPI

Buckeye Physical Medicine and Rehab - Kenwood

  • General Practice Physician
  • Cincinnati, OH
National Provider Identifier
1619388386
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BUCKEYE PHYSICAL MEDICINE AND REHAB - KENWOOD
Practice address
6934 Montgomery Rd
Cincinnati, OH 45236-3821
Phone
(513) 792-0070
Fax
(513) 792-0466
NPI assigned
May 15, 2014
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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) 305-5063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

6934 Montgomery Rd
Cincinnati, OH 45236-3821

Mailing address

3700 Garden CT
Grove City, OH 43123-2906
Phone (614) 801-1307

National Provider Directory

National Provider Directory

Locations

6934 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 792-0070

Practitioners & affiliated clinicians

Practitioners 6

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": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1619388386",
    "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": "6934 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363821",
            "telephone_number": "513-792-0070",
            "fax_number": "513-792-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE PHYSICAL MEDICINE AND REHAB - KENWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "TALLEDO",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "614-305-5063"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.