BUCKEYE ORAL & MAXILLOFACIAL SURGEY
NPI 1073855193
Clinic/Center - Oral and Maxillofacial Surgery in Westerville, OH

NPI Status: Active since March 27, 2013

Contact Information

110 POLARIS PARKWAY
SUITE 110
WESTERVILLE, OH
ZIP 43082
Phone: (614) 794-9700

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About BUCKEYE ORAL & MAXILLOFACIAL SURGEY

This page provides the complete NPI Profile along with additional information for Buckeye Oral & Maxillofacial Surgey, a provider established in Westerville, Ohio operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1073855193 assigned on March 2013. The practitioner's primary taxonomy code is 261QS0112X with license number 30022456 (OH). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's former legal business name is Buckeye Oral & Maxillofacial Surgery. The authorized official of this NPI record is Dr. Jack B Mcewan Dds (Owner)

NPI
1073855193
Provider Legal Name
BUCKEYE ORAL & MAXILLOFACIAL SURGEY
Other Organization Name
BUCKEYE ORAL & MAXILLOFACIAL SURGERY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
110 POLARIS PARKWAY SUITE 110 WESTERVILLE, OH 43082
Location Phone
(614) 794-9700
Mailing Address
PO BOX 2443 WESTERVILLE, OH 43086
Mailing Phone
(614) 794-9700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2013
Last Update Date
03-27-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
License No.
30022456
License State
OH
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JACK B MCEWAN DDS

Authorized Official Title
OWNER
Authorized Official Phone
(614) 794-9700

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2711882MEDICAID (05)OH 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073855193
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014316510118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 6 + 5 + 1 + 0 + 1 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1073855193 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073855193, enumerated as an "organization" on March 27, 2013.

The provider is located at 110 POLARIS PARKWAY SUITE 110 WESTERVILLE, OH 43082 and the phone number is (614) 794-9700.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.