Individual provider Active NPI

Nathaniel Robert Bucci, PA-C

  • Physician Assistant
  • Geneva, OH
National Provider Identifier
1902364862
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005787RX Issued in OH
Practice address
60 West St
Geneva, OH 44041-9723
Phone
(440) 491-0155
NPI assigned
Mar 8, 2019
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005787RX OH Primary

Addresses

Primary practice location

60 West St
Geneva, OH 44041-9723

Mailing address

1619 Squaw CT
Girard, OH 44420-3632
Phone (330) 219-0519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329002379 OH Practitioner - Physician Assistant 3173864170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nagy Healthcare LLCGroup PAC ID 0941563605, 10 clinicians

Practice addresses (Care Compare)

196 Colonial Dr
Youngstown, OH 44505-2139
Phone (833) 720-6249

60 W St
Geneva, OH 44041-9723
Phone (833) 720-6249

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.005787RXOHMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1902364862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 SQUAW CT",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444203632",
            "telephone_number": "330-219-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WEST ST",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440419723",
            "telephone_number": "440-491-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "NATHANIEL",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005787RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, OH

Sources for this page

Verify at the official NPI Registry.