Buckeye Clinic | |
3121 W Broad St Columbus OH 43204-1306 | |
(614) 869-2002 | |
Not Available |
Full Name | Buckeye Clinic |
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Speciality | Family Medicine |
Location | 3121 W Broad St, Columbus, Ohio |
Authorized Official Name and Position | Manoj Sinha (CEO) |
Authorized Official Contact | 6147926242 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Buckeye Clinic 6805 Avery Muirfield Dr 103 Dublin OH 43016-7180 Ph: (614) 792-6242 | Buckeye Clinic 3121 W Broad St Columbus OH 43204-1306 Ph: (614) 869-2002 |
NPI Number | 1366992893 |
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Provider Enumeration Date | 10/07/2016 |
Last Update Date | 02/16/2024 |
Certification Date | 02/16/2024 |
Medicare PECOS PAC ID | 7810237666 |
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Medicare Enrollment ID | O20190314001368 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366992893 | NPI | - | NPPES |
Provider Name | Radhika Gollapudy |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1699858316 PECOS PAC ID: 8820074735 Enrollment ID: I20040629001279 |
Provider Name | Matthew Reid Harris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134105968 PECOS PAC ID: 5395786230 Enrollment ID: I20050520000271 |
Provider Name | Ranjana Sinha |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1730277849 PECOS PAC ID: 0648277160 Enrollment ID: I20111117000788 |
Provider Name | Cheryl Cook |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023228285 PECOS PAC ID: 5193978955 Enrollment ID: I20130228000516 |
Provider Name | Courtney Wilder-whiting |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346600558 PECOS PAC ID: 2163720400 Enrollment ID: I20160419002800 |
Provider Name | Christina Jane Duffey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790296549 PECOS PAC ID: 1456617240 Enrollment ID: I20171110001650 |
Provider Name | Rebecca Anne Boyle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316489800 PECOS PAC ID: 8426314121 Enrollment ID: I20171114000891 |
Provider Name | Barbara A. Driscoll |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700340999 PECOS PAC ID: 9931442217 Enrollment ID: I20190530001730 |
Provider Name | Rachel Isabella De Lima |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215596788 PECOS PAC ID: 5092159756 Enrollment ID: I20240221001615 |
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