Organization Active NPI

Buckeye Health Plan Community Solutions, Inc.

  • Health Maintenance Organization
  • Columbus, OH
National Provider Identifier
1881201416
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.
Practice address
4349 Easton Way Ste 120
Columbus, OH 43219-6138
Phone
(855) 445-3562
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Kenneth Koshorek
Title
VP, Associate General Counsel
Phone
(313) 720-5567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

4349 Easton Way Ste 120
Columbus, OH 43219-6138

Mailing address

7700 Forsyth Blvd
Saint Louis, MO 63105-1813

National Provider Directory

National Provider Directory

Locations

4349 Easton Way
Ste 120
Columbus, OH 43219
Phone (855) 445-3562

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1881201416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 FORSYTH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 EASTON WAY STE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196138",
            "telephone_number": "855-445-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "KOSHOREK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP, ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "313-720-5567"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 14, 2025; 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.