Active NPI
Buckeye Medical Supply Company Inc
- Durable Medical Equipment & Medical Supplies
- South Euclid, OH
National Provider Identifier
1669509659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BUCKEYE MEDICAL SUPPLY COMPANY INC
- Practice address
- 1495 Warrensville Center Road
South Euclid, OH 44121-2665 - Phone
- (216) 381-4830
- Fax
- (216) 381-4832
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eric M Buller
- Title
- President
- Phone
- (216) 381-4830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1495 Warrensville Center Road
South Euclid, OH 44121-2665
Mailing address
1495 Warrensville Center Road
South Euclid, OH 44121-2665
Phone (216) 381-4830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2039752 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1495 Warrensville Center Rd
South Euclid, OH 44121
Phone (216) 381-4830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345680000000",
"number": "1669509659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 WARRENSVILLE CENTER ROAD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212665",
"telephone_number": "216-381-4830",
"fax_number": "216-381-4832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 WARRENSVILLE CENTER ROAD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212665",
"telephone_number": "216-381-4830",
"fax_number": "216-381-4832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKEYE MEDICAL SUPPLY COMPANY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2012-08-23",
"status": "A",
"authorized_official_last_name": "BULLER",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-381-4830",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2039752",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.