Buckeye Dialysis Supply Company

Primary specialty

Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X

Legal business name

BUCKEYE DIALYSIS SUPPLY COMPANY

Practice address

18720 Chagrin Blvd
Shaker Heights, OH 44122-4855

Phone

(216) 283-7208

Fax

(216) 283-7230

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Cheryl Winterich

Title

VP Stragetic Planning

Phone

(216) 295-7003

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871531277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18720 CHAGRIN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224855",
            "telephone_number": "216-283-7208",
            "fax_number": "216-283-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18720 CHAGRIN BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441224855",
            "telephone_number": "216-283-7208",
            "fax_number": "216-283-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE DIALYSIS SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTERICH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "VP STRAGETIC PLANNING",
        "authorized_official_telephone_number": "216-295-7003"
    },
    "taxonomies": [
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0693290",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "65944",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000156098",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latrice K Brown, SWT
• Nicole Brucato, MFT
• Jessica Brutvan
• Kaitlyn Bryant
• Rita Bryce, LISW
• Pamela Budak, LISW-S
• Cameron Budzik
• Brandon Michael Bunkley
• Rachel Bunting
• Richard M. Burdsall, PT

• Durable Medical Equipment & Medical Supplies in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.