BUCKEYE CLINIC NPI 1366992893

NPI Information

  • NPI: 1366992893
  • Provider Name: BUCKEYE CLINIC
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • CLIA Number: 36D2083495
  • Address: 3121 W BROAD ST
    COLUMBUS, OH
    ZIP 43204
  • Phone: (614) 869-2002

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NPI Details

BUCKEYE CLINIC is an addiction medicine family medicine in Columbus, OH. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. BUCKEYE CLINIC NPI is 1366992893. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3121 W BROAD ST
COLUMBUS, OH
ZIP 43204-306
Phone: (614) 869-2002

The provider's authorized official is Manoj Sinha .
The authorized official title is Ceo and has the following contact phone number (614) 792-6242.

The CLIA number assigned to this NPI record is 36D2083495 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 2/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4207RA0401XInternal MedicineAddiction MedicineNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
62084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
7208D00000XGeneral PracticeNo
8261QP2300XClinic/CenterPrimary CareNo
9207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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