Organization Active NPI

Athletic Medical Solutions East, LLC

Doing business as Buckeye Physical Medicine and Rehab.-Eastland, LLC

  • General Practice Physician
  • Columbus, OH
National Provider Identifier
1649607318
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ATHLETIC MEDICAL SOLUTIONS EAST, LLC
Doing business as
Buckeye Physical Medicine and Rehab.-Eastland, LLC
Practice address
6100 E Main St Ste 110
Columbus, OH 43213
Phone
(614) 755-7700
Fax
(614) 577-0635
NPI assigned
Sep 26, 2013
Last updated
Jun 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Tiffany Schneid
Title
Director of Operations
Phone
(614) 305-5062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

6100 E Main St Ste 110
Columbus, OH 43213

Mailing address

3696 Garden CT
Grove City, OH 43123-2906
Phone (614) 755-7700

Other practice location 1

4261 Kimberly Pkwy
Columbus, OH 43232-7226
Phone (614) 755-7700

Other identifiers 1

IdentifierTypeStateIssuer
0094813MedicaidOH

Other names 1

  • Buckeye Physical Medicine and Rehab.-Eastland, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

6100 E Main St
Ste 110
Columbus, OH 43213
Phone (614) 755-7700

Practitioners & affiliated clinicians

Practitioners 3

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": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1649607318",
    "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": "614-755-7700",
            "fax_number": "614-577-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 E MAIN ST STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-755-7700",
            "fax_number": "614-577-0635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4261 Kimberly Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432327226",
            "country_code": "US",
            "telephone_number": "614-755-7700",
            "fax_number": "614-755-9634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATHLETIC MEDICAL SOLUTIONS EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "SCHNEID",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "614-305-5062"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094813",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckeye Physical Medicine and Rehab.-Eastland, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buckeye Physical Medicine and Rehab.-Eastland, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.