Organization Active NPI

Buckeye Primary Care LLC

  • Family Medicine Physician
  • Reynoldsburg, OH
National Provider Identifier
1720905375
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BUCKEYE PRIMARY CARE LLC
Practice address
7335 E Livingston Ave
Reynoldsburg, OH 43068-3089
Phone
(516) 585-9359
NPI assigned
Jul 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Dr. Damodar Poudel, MD
Title
Member
Phone
(516) 585-9359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7335 E Livingston Ave
Reynoldsburg, OH 43068-3089

Mailing address

7335 E Livingston Ave
Reynoldsburg, OH 43068-3089
Phone (516) 585-9359

Other names 1

  • Eastside Primary Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1720905375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 E LIVINGSTON AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683089",
            "telephone_number": "516-585-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 E LIVINGSTON AVE",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683089",
            "telephone_number": "516-585-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-03",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "POUDEL",
        "authorized_official_first_name": "DAMODAR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-585-9359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2026; 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.