Provider Demographics
NPI:1437137718
Name:BUCHAN, JOHN H JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:H
Last Name:BUCHAN
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-8958
Mailing Address - Country:US
Mailing Address - Phone:614-890-7224
Mailing Address - Fax:614-890-8253
Practice Address - Street 1:550 S CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8958
Practice Address - Country:US
Practice Address - Phone:614-890-7224
Practice Address - Fax:614-890-8253
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36001890213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0401523Medicaid
OH0464944Medicare PIN
OH0464942Medicare PIN
OHBU0464943Medicare PIN
OH0401523Medicaid
OHBU0464944Medicare PIN
OH0464943Medicare PIN
OHT80475Medicare UPIN