NPIMap

Organization Active NPI

Buckeye Allergy

  • Allergy Physician
  • Columbus, OH
National Provider Identifier
1790825925
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
BUCKEYE ALLERGY
Practice address
5877 Cleveland Avenue
Columbus, OH 43231-2859
Phone
(614) 891-0550
Fax
(614) 891-0429
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Roger Alan Friedman, MD
Title
Partner
Phone
(614) 891-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

5877 Cleveland Avenue
Columbus, OH 43231-2859

Mailing address

PO Box 183027 Dept LB-05
Columbus, OH 43218-3027
Phone (614) 766-4903

Other identifiers 1

IdentifierTypeStateIssuer
2604346MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Buckeye Allergy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1790825925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183027 DEPT LB-05",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432183027",
            "telephone_number": "614-766-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 CLEVELAND AVENUE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312859",
            "telephone_number": "614-891-0550",
            "fax_number": "614-891-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "614-891-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2604346",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.