BUCKEYE DENTAL CARE LLC. (NPI# 1740639988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740639988 |
| Entity Type | Organization |
| Organization Name | BUCKEYE DENTAL CARE LLC. |
| Other Organization Name | BUCKEYE DENTAL CARE |
| Practice Address |
1268 Ohio Pike Amelia OH 45102 |
| Practice Telephone | 5134820005 |
| Mailing Telephone | 5134820005 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | GHULAM FAREED (DENTIST) |
| Authorized Official Telephone | 5134820005 |
| Authorized Official Credential | DDS. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 30.021441 | OH | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2419289 | 05 |
| Other Name | Type Code |
|---|---|
| BUCKEYE DENTAL CARE | Doing Business As Name - Organization |
| Street Address |
1268 OHIO PIKE |
| City | AMELIA |
| State | OH |
| Zip Code | 45102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437679743 | Jacob Pangallo | Specialist/Technologist | 117 Chapel Rd, Amelia, OH 45102 | 2017-06-27 |
| 1336676725 | Tressa Louise Vauter | Technician | 1751 E Ohio Pike 124b., Amelia, OH 45102 | 2017-05-16 |
| 1992085856 | Emily J Woodward | Nurse's Aide | 1507 Thomaston Dr, Unit F, Amelia, OH 45102 | 2011-08-24 |
| 1033320999 | American Home Health Care | Durable Medical Equipment & Medical Supplies | 1815 State Road 125, Amelia, OH 45102 | 2007-05-24 |
| 1215038849 | Patrick D Weadick | Chiropractor | 1739 E Ohio Pike, Ohio Pike Chiropractic Inc, Amelia, OH 45102 | 2006-09-26 |
| 1912434267 | Elizabeth Flynn Adams | Nurse Practitioner | 262 W Main St, Amelia, OH 45102 | 2017-05-17 |
| 1093065450 | Leslie Mae Whitacre | Pharmacist | 57 W Main St, Amelia, OH 45102 | 2012-09-13 |
| 1780983015 | Kelli Nichole Votel | Counselor | 43 East Main Street, Amelia, OH 45102 | 2011-03-25 |
| 1033226212 | Richard E Godfroy | Dentist | 105 W Main St, Amelia, OH 45102 | 2006-08-24 |
| 1154617736 | Primary Care Associates Inc | Internal Medicine | 1324 State Route Suite 125, Amelia, OH 45102-0015 | 2011-06-22 |
| Find all providers in zip 45102 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| 1528422177 | Stephanie Loving Care | Point of Service | 3403 Penfield Rd, Columbus, OH 43227-3750 | 2016-04-11 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.