NORTHEASTERN OHIO FOOT & ANKLE SURGICAL ASSOCIATES, INC.
NPI 1639235351
Podiatrist - Foot & Ankle Surgery in Battle Creek, MI

NPI Status: Active since December 28, 2006

Contact Information

5500 ARMSTRONG RD
BATTLE CREEK, MI
ZIP 49037
Phone: (269) 966-5600

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery
  • Accepts Insurance
  • CLIA Number: 36D0948332
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 07-07-2026

About NORTHEASTERN OHIO FOOT & ANKLE SURGICAL ASSOCIATES, INC.

This page provides the complete NPI Profile along with additional information for Northeastern Ohio Foot & Ankle Surgical Associates, Inc., a provider established in Battle Creek, Michigan operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1639235351 assigned on December 2006. The practitioner's primary taxonomy code is 213ES0103X with license number 36.003352 (OH). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Theodore A. Buccilli Jr. Dpm (President)

NPI
1639235351
Provider Name
NORTHEASTERN OHIO FOOT & ANKLE SURGICAL ASSOCIATES, INC.
Entity Type
Organization
Location Address
5500 ARMSTRONG RD BATTLE CREEK, MI 49037
Location Phone
(269) 966-5600
Mailing Address
5500 ARMSTRONG RD BATTLE CREEK, MI 49037
Mailing Phone
(269) 966-5600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2006
Last Update Date
08-15-2025
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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

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers
License No.
36.003352
License State
OH

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO

*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. THEODORE A. BUCCILLI JR. DPM

Authorized Official Title
PRESIDENT
Authorized Official Phone
(330) 687-7464

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0948332
Facility Type
Other
Certificate Effective Date
July 08, 2024
Certificate Expiration Date
July 07, 2026
Laboratory Director
KATHRYN L. BULGRIN DO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northeastern Ohio Foot & Ankle Surgical Associates, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NORTHEASTERN OHIO FOOT & ANKLE SURGICAL ASSOCIATES, INC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639235351, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 4 + 3 + 1 + 0 + 3 + 1 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1639235351.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
5500 ARMSTRONG RD, VAMC
BATTLE CREEK, MI 49037
Physician Assistant (Medical)
5500 ARMSTRONG RD, VA MEDICAL CENTER
BATTLE CREEK, MI 49037
Physician Assistant (Medical)
5500 ARMSTRONG RD, BATTLE CREEK VA MEDICAL CENTER
BATTLE CREEK, MI 49037
Physical Medicine & Rehabilitation
5500 ARMSTRONG RD, REHABILITATION SERVICE, VA HOSPITAL
BATTLE CREEK, MI 49037
Pharmacist
5500 ARMSTRONG RD, VA MEDICAL CENTER
BATTLE CREEK, MI 49037
Dietitian, Registered
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Psychologist (Clinical)
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Registered Nurse
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Physical Therapist
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Social Worker (Clinical)
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Social Worker (Clinical)
5500 ARMSTRONG RD, DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
BATTLE CREEK, MI 49037
Psychologist (Clinical)
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Psychologist
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Dental Hygienist
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Psychologist (Clinical)
5500 ARMSTRONG RD, BUILDING 14, ROOM 251
BATTLE CREEK, MI 49037
Dental Hygienist
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Social Worker (Clinical)
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Psychologist (Clinical)
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Occupational Therapist
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037
Physical Therapy Assistant
5500 ARMSTRONG RD
BATTLE CREEK, MI 49037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639235351, enumerated as an "organization" on December 28, 2006.

The provider is located at 5500 ARMSTRONG RD BATTLE CREEK, MI 49037 and the phone number is (269) 966-5600.

Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

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