Provider Demographics
NPI:1801405600
Name:BUCHER, GREGORY
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:BUCHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3923 ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2731
Mailing Address - Country:US
Mailing Address - Phone:614-461-3050
Mailing Address - Fax:301-718-0604
Practice Address - Street 1:3923 ORCHARD LN
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2731
Practice Address - Country:US
Practice Address - Phone:614-461-3050
Practice Address - Fax:301-718-0604
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3152207Medicaid