Buckeye Family Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BUCKEYE FAMILY HEALTHCARE LLC

Doing business as

Buckeye Family Healthcare

Practice address

3477 Commerce Pkwy Ste a
Wooster, OH 44691-7126

Phone

(330) 601-0999

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By 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

Mark Stutzman, DONPI 1659536761

Title

Owner

Phone

(330) 601-0999

Specialties & licenses 1

Addresses

Other names 1

• BUCKEYE FAMILY HEALTHCARE Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

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.

• Mark Alan Stutzman, DO

  • Family Medicine Physician
  • Wooster, OH
  • NPI 1659536761
  Medicare reassignment Care Compare group NPD Authorized official
• Rachel Edgar, FNP

  • Family Nurse Practitioner
  • Wooster, OH
  • NPI 1790493864
  Medicare reassignment Care Compare group NPD
• Lisa A Malys, DO

  • Family Medicine Physician
  • Wooster, OH
  • NPI 1013172121
  Medicare reassignment Care Compare group NPD
• Hannah E Miedel, MD

  • Family Medicine Physician
  • Millersburg, OH
  • NPI 1568435451
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1790473601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 COMMERCE PKWY STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917126",
            "telephone_number": "330-601-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 COMMERCE PKWY STE A",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917126",
            "telephone_number": "330-601-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "STUTZMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-601-0999",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUCKEYE FAMILY HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randall Brunston
• James E Bryan IV
• Kimberly Brzezowski
• Susan D. Buchwalter, PH.D.
• Laura Buck
• Buehler Food Markets Incorporated
• Galina Valentinovna Bulatova, DMD, MS
• Kate E Bullach, DPT
• Daniel Patrick Bullard, DPM
• Kara Louise Bullard, BSW, LSW

• Family Medicine Physician in Wooster, OH
• Providers in Wooster, 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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.