Buckeye Orthopedic Design, Inc.

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

LPO 9 Issued in OH

Legal business name

BUCKEYE ORTHOPEDIC DESIGN, INC.

Practice address

3187 Western Row Rd
Suite 106
Maineville, OH 45039-8045

Phone

(513) 770-5550

Fax

(513) 770-4190

NPI assigned

Nov 1, 2006

Last updated

Jan 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Bondurant, CPO, LPO

Title

President Clinical Director

Phone

(513) 770-5550

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1669550695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3187 WESTERN ROW RD",
            "address_2": "SUITE 106",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398045",
            "telephone_number": "513-770-5550",
            "fax_number": "513-770-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3187 WESTERN ROW RD",
            "address_2": "SUITE 106",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450398045",
            "telephone_number": "513-770-5550",
            "fax_number": "513-770-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE ORTHOPEDIC DESIGN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "BONDURANT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "513-770-5550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LPO 9",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "OH",
            "license": "LPO 9",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "LPO 9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2583262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Brown, PHARMD
• Cynthia Brown
• Jennifer L Brown, RN
• BSMH Urgent Care Ventures I LLC (Mercy Health Maineville Urgent Care)
• Buckeye Chiropractic and Sports Injury LLC
• Kara Burns
• Amanda Byrd, BCBA, COBA
• Nicole Lavon-Renee Campbell, CNP
• James Peele Carey IV, M.D.
• Penny Suzanne Cesco

• Prosthetist in Maineville, OH
• Providers in Maineville, OH by specialty
• Prosthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.