| Jared Buckingham, | |
|
4160 Little York Rd Ste 10, Dayton, OH 45414-5803 | |
| (937) 415-9100 | |
| Not Available |
| Full Name | Jared Buckingham |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 4160 Little York Rd Ste 10, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598363186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Orthopedic Associates Of Sw Ohio Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1447422118 PECOS PAC ID: 9638258874 Enrollment ID: O20080430000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Buckingham, 1979 N 4th St, Columbus, OH 43201-1728 Ph: () - | Jared Buckingham, 4160 Little York Rd Ste 10, Dayton, OH 45414-5803 Ph: (937) 415-9100 |
Sydney Caitlin Koogle, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 264 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4663 | |
Debra Middleton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7466 Dayton Liberty Rd, Dayton, OH 45417 Phone: 513-791-5766 | |
Ms. Alisha M Holman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6125 N Main St, Dayton, OH 45415 Phone: 937-853-5234 | |
Mrs. Katie Rachelle Langenderfer, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Springfield St, Dayton, OH 45431 Phone: 937-236-9965 Fax: 937-233-0161 | |
Amber Nicole Byrd, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7677 Yankee St Ste 210, Dayton, OH 45459 Phone: 937-689-0603 | |
Stephanie Jae Buehler, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4160 Little York Rd, Suite 10, Dayton, OH 45414 Phone: 937-415-9100 Fax: 937-415-9191 | |
Andrea C Dexter, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Springfield St, Dayton, OH 45431 Phone: 937-236-9965 Fax: 937-233-0161 |