Active NPI
Buckeye Wellness Consultants LLC
- Occupational Medicine Physician
- Reynoldsburg, OH
National Provider Identifier
1700207065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Legal business name
- BUCKEYE WELLNESS CONSULTANTS LLC
- Practice address
- 2040 Brice Rd
Ste 160
Reynoldsburg, OH 43068 - Phone
- (614) 856-9901
- NPI assigned
- Jan 3, 2014
- 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. Benjamin Zacks
- Title
- Manager
- Phone
- (216) 236-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | Primary |
Addresses
Primary practice location
2040 Brice Rd
Ste 160
Reynoldsburg, OH 43068
Mailing address
23811 Chagrin Blvd.
Ste: 220
Beachwood, OH 44122
Phone (216) 831-4484
National Provider Directory
National Provider DirectoryLocations
23811 Chagrin Blvd
Ste 220
Beachwood, OH 44122
2040 Brice Rd
Ste 160
Reynoldsburg, OH 43068
Phone (614) 407-4125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388707200000",
"number": "1700207065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23811 CHAGRIN BLVD.",
"address_2": "STE: 220",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "44122",
"telephone_number": "216-831-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 BRICE RD",
"address_2": "STE 160",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "43068",
"telephone_number": "614-856-9901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKEYE WELLNESS CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-03",
"last_updated": "2014-01-03",
"status": "A",
"authorized_official_last_name": "ZACKS",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "216-236-8000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.