Active NPI
Jaxon T Buike
- Student in an Organized Health Care Education/Training Program
- Strongsville, OH
National Provider Identifier
1821635574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 13937 Olde Orchard Rd
Strongsville, OH 44136-8342 - Phone
- (440) 915-6149
- NPI assigned
- Dec 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
13937 Olde Orchard Rd
Strongsville, OH 44136-8342
Mailing address
13937 Olde Orchard Rd
Strongsville, OH 44136-8342
Phone (440) 915-6149
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1821635574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13937 OLDE ORCHARD RD",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441368342",
"telephone_number": "440-915-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13937 OLDE ORCHARD RD",
"city": "STRONGSVILLE",
"state": "OH",
"postal_code": "441368342",
"telephone_number": "440-915-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUIKE",
"first_name": "JAXON",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "13937 Olde Orchard Rd",
"city": "Strongsville",
"state": "OH",
"country_code": "US",
"postal_code": "441368342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Strongsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.