NPIMap

Organization Active NPI

Buckeye Foot & Ankle LLC

  • Foot Surgery Podiatrist
  • Urbana, OH
National Provider Identifier
1942492004
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
3078 Issued in OH
Legal business name
BUCKEYE FOOT & ANKLE LLC
Practice address
970 E US Highway 36
Suite B
Urbana, OH 43078-1891
Phone
(937) 653-6105
Fax
(937) 652-4650
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Dr. Susan Yu, DPM
Title
Partner
Phone
(937) 653-6105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 3078 OH Primary

Addresses

Primary practice location

970 E US Highway 36
Suite B
Urbana, OH 43078-1891

Mailing address

970 E US Highway 36
Suite B
Urbana, OH 43078-1891
Phone (937) 653-6105

Other identifiers 1

IdentifierTypeStateIssuer
2056984MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1942492004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E US HIGHWAY 36",
            "address_2": "SUITE B",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430781891",
            "telephone_number": "937-653-6105",
            "fax_number": "937-652-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E US HIGHWAY 36",
            "address_2": "SUITE B",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430781891",
            "telephone_number": "937-653-6105",
            "fax_number": "937-652-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "937-653-6105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "3078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056984",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.