DR. REESHAD RUSI BUHARIWALLA (NPI# 1982709531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982709531 |
| Entity Type | Individual |
| Full Name | DR. REESHAD RUSI BUHARIWALLA |
| Credential | M.D. |
| Practice Address |
1037 Conneaut Ave Ste 206 Bowling Green OH 43402-5300 |
| Mailing Address |
745 Haskins Rd Ste B Bowling Green OH 43402-1600 |
| Practice Telephone | 4193536225 |
| Practice Fax Number | 4193540922 |
| Mailing Telephone | 4193737607 |
| Mailing Fax Number | 4193537076 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35-06-8953 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000130577 | 01 |
| OH | 0217269 | 05 | |
| OH | RAILROAD MEDICARE | 080123688 | 01 |
| OH | UNITED HEALTHCARE | 08-01306 | 01 |
| OH | MEDICARE | H562810 | 01 |
| Street Address |
1037 CONNEAUT AVE STE 206 |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691619 | Kelly Marie Miller | Family Medicine | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2019-04-03 |
| 1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
| 1992180772 | Commonwealth Health Corporation, Inc. | Family Medicine | 825 2nd Ave Ste B3, Bowling Green, KY 42101-1790 | 2015-07-22 |
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1063696003 | John C Tapp Md | Family Medicine | 414 Old Morgantown Rd, Bowling Green, KY 42101-2842 | 2007-12-27 |
| 1467650101 | Jennifer Imara Hayes-bethel | Family Medicine | 8 Town Center Dr, Bowling Green, MO 63334-2803 | 2007-07-03 |
| 1740407667 | Mcmd, Psc | Family Medicine | 1340 Ellis Place, Bowling Green, KY 42104 | 2007-04-20 |
| 1407972862 | E J Kuebeck Md Inc | Family Medicine | 1052 W Wooster St, Bowling Green, OH 43402 | 2007-03-21 |
| 1659419737 | Kevin D Dew | Family Medicine | 2508 Scottsville Rd, Suite 104, Bowling Green, KY 42104-4400 | 2007-02-02 |
| 1003994013 | William E Feeman Jr. | Family Medicine | 640 S Wintergarden Rd, Bowling Green, OH 43402-3544 | 2006-11-01 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on DR. REESHAD RUSI BUHARIWALLA.
| 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.