Buckeye Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BUCKEYE MEDICAL GROUP

Practice address

918 Woodlawn Ave
Cambridge, OH 43725-2949

Phone

(740) 699-1000

Fax

(740) 699-1004

NPI assigned

Nov 16, 2006

Last updated

Aug 22, 2020By 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

Troy W Balgo, DONPI 1104921949

Title

Owner Provider

Phone

(740) 432-8600

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Troy Wayne Balgo, DO

  • Family Medicine Physician
  • St.Clairsville, OH
  • NPI 1104921949
  NPD (past) Authorized official
• Edward Lawrence Colby, D.O.

  • Internal Medicine Physician
  • Cambridge, OH
  • NPI 1518956473
  NPD (past)
• Larry Kettlewell, D.O.

  • General Practice Physician
  • Ocala, FL
  • NPI 1346275427
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699848770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439500057",
            "telephone_number": "740-699-1000",
            "fax_number": "740-699-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 WOODLAWN AVE",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252949",
            "telephone_number": "740-699-1000",
            "fax_number": "740-699-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALGO",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "740-432-8600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA2386",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TRICARE",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Jean Brown
• Samantha Jean Brown, PA-C
• Tana L Brown
• Lindsey Bryan
• Alexa K. Buchanan
• Renee Antionette Buco
• Tracy L Bugglin, LPCC-S, LSW
• Connie Bumgardner
• Jessica Burga
• Brittany Burks

• Family Medicine Physician in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.