Provider Demographics
NPI:1972619443
Name:BUCHER, RICK JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:JAMES
Last Name:BUCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:5237 MORNING SUN ROAD
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-0360
Mailing Address - Country:US
Mailing Address - Phone:513-523-7511
Mailing Address - Fax:513-524-1028
Practice Address - Street 1:5237 MORNING SUN RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-8928
Practice Address - Country:US
Practice Address - Phone:513-523-7511
Practice Address - Fax:513-524-1028
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35052335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000676713OtherANTHEM
OH0597162Medicaid
OHBU0571241Medicare ID - Type Unspecified
OH000000676713OtherANTHEM