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Theodore A Buccilli Jr DPM

NPI 1528024619ActiveOrganization· Podiatrist· Tallmadge, OH

Podiatrist in Tallmadge, Ohio, registered in NPPES in April 2006. The authorized official on file is Susan Cerimele, Billing.

Overview

NPI1528024619
StatusActive
Entity typeOrganization
NPI issuedApr 26, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist Primary213E00000X36003352OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Podiatrist providers in Tallmadge

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