Theodore A Buccilli Jr. (NPI# 1164413019, PAC ID# 5395798318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1164413019 |
| PAC ID by PECOS | 5395798318 |
| Professional Enrollment ID | I20050301000973 |
| Full Name | Theodore A Buccilli Jr. |
| Address |
25 S Main St Suite 7 Munroe Falls OH 44262-1660 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 25 S Main St, Suite 7, Munroe Falls, OH 44262-1660 |
| Street Address |
25 S MAIN ST SUITE 7 |
| City | MUNROE FALLS |
| State | OH |
| Zip | 44262-1660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucy Roberts | Nurse Practitioner | Liliana Lopez Np In Family Health PC | 25 S Main St, Suite E, Spring Valley, NY 10977-4917 |
| Liliana Lopez | Nurse Practitioner | Liliana Lopez Np In Family Health PC | 25 S Main St, Suite E, Spring Valley, NY 10977-4917 |
| Olivia Margaret Bouquet | Nurse Practitioner | Liliana Lopez Np In Family Health PC | 25 S Main St, Suite E, Spring Valley, NY 10977-4917 |
| Ashish K Sinha | Physical Therapy | 25 S Main St, Suite 12, Edison, NJ 08837-3348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gayleen Kolaczewski | Gastroenterology | 265 N Main St, Monroe Falls, OH 44262-1077 | |
| Nicholas V Rimedio | Family Medicine | 38 Munroe Falls Ave, Munroe Falls, OH 44262-1538 | |
| Kendrick Bashor | Family Medicine | 40 Munroe Falls Ave, Munroe Falls, OH 44262-1538 | |
| Mark J Brady | Chiropractic | 108 S Main St, Munroe Falls, OH 44262-1638 |
| City | MUNROE FALLS |
| Zip Code | 44262 |
| Specialty | PODIATRY |
| City + Specialty | MUNROE FALLS + PODIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.