BUCKEYE DIALYSIS SUPPLY COMPANY (NPI# 1871531277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871531277 |
| Entity Type | Organization |
| Organization Name | BUCKEYE DIALYSIS SUPPLY COMPANY |
| Practice Address |
18720 Chagrin Blvd Shaker Heights OH 44122-4855 |
| Practice Telephone | 2162837208 |
| Practice Fax Number | 2162837230 |
| Mailing Telephone | 2162837208 |
| Mailing Fax Number | 2162837230 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHERYL WINTERICH (VP STRAGETIC PLANNING) |
| Authorized Official Telephone | 2162957003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000156098 | 01 |
| OH | QUALCHOICE | 65944 | 01 |
| OH | 0693290 | 05 |
| Street Address |
18720 CHAGRIN BLVD |
| City | SHAKER HEIGHTS |
| State | OH |
| Zip Code | 44122-4855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437607991 | Lauren Jolley | Nurse Practitioner | 18720 Chagrin Blvd, Shaker Heights, OH 44122-4855 | 2016-09-13 |
| 1265880066 | Pamela Sue Kent | Dietitian, Registered | 18720 Chagrin Blvd, Shaker Heights, OH 44122-4855 | 2016-06-02 |
| 1467509893 | Partners In Nephrology Care Ltd. | Internal Medicine | 18720 Chagrin Blvd, Shaker Heights, OH 44122-4855 | 2007-01-05 |
| 1073682209 | Cdc Physicians Organization, Inc. | Radiology | 18720 Chagrin Blvd, Shaker Heights, OH 44122-4855 | 2006-11-06 |
| 1093802779 | Nephrology Associates of Cleveland Ltd. | Clinic/Center | 18720 Chagrin Blvd, Shaker Heights, OH 44122-4855 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 332BD1200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Dialysis Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803022 | Dialyne Company | Durable Medical Equipment & Medical Supplies | 100 Federal Plaza E, 400 City Centre One, Youngstown, OH 44503-1810 | 2005-12-30 |
| 1124318928 | Abbott Infusion Care Ltd | Durable Medical Equipment & Medical Supplies | 720 S 2nd St, Suite B, Coshocton, OH 43812-1947 | 2011-04-13 |
| City | SHAKER HEIGHTS |
| Zip Code | 44122 |
Please comment or provide details below to improve the information on BUCKEYE DIALYSIS SUPPLY COMPANY.
| 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.