Individual provider Active NPI

David S Buchan, DPM

  • Podiatrist
  • Worthington, OH
National Provider Identifier
1700864063
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002217 Issued in OH
Practice address
350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085
Phone
(614) 895-8747
Fax
(614) 895-3246
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002217 OH Primary

Addresses

Primary practice location

350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085

Mailing address

350 W Wilson Bridge Rd Ste 200
Worthington, OH 43085-2217
Phone (614) 895-8747

Other practice location 1

300 Polaris Pkwy
Ste 2000
Westerville, OH 43082-7993
Phone (614) 895-8747

Other practice location 2

300 Polaris Pkwy
Ste 2000
Westerville, OH 43082-7993
Phone (614) 895-8747

Other practice location 3

5060 Bradenton Ave Ste B
Dublin, OH 43017-3511
Phone (614) 895-8747

Other identifiers 1

IdentifierTypeStateIssuer
0657856MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002217OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Footsource MD, LLC Past Accepting new patients
Ketamine Health & Wellness Clinics of Ohio LLC PastSince Jun 4, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1700864063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD STE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852217",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WILSON BRIDGE RD STE 200",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "43085",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 POLARIS PKWY",
            "address_2": "STE 2000",
            "address_purpose": "LOCATION",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827993",
            "country_code": "US",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 POLARIS PKWY",
            "address_2": "STE 2000",
            "address_purpose": "LOCATION",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827993",
            "country_code": "US",
            "telephone_number": "614-895-8747",
            "fax_number": "614-895-3246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5060 Bradenton Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430173511",
            "country_code": "US",
            "telephone_number": "614-895-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHAN",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0657856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.