OrganizationActive
Theodore a Buccilli Jr DPM
NPI 1528024619 · Podiatrist · Tallmadge, OH
Theodore a Buccilli Jr DPM is a Podiatrist organization in Tallmadge, OH (NPI 1528024619).
Provider details
- NPI number
- 1528024619
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Susan Cerimele, Billing(330) 633-3445
- License
- 36003352 (OH)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
116 East Ave
Tallmadge, OH 44278-2328
Phone: (330) 633-3445
Fax: (330) 633-6028
Street-level locationGet directions
Mailing address
116 East Ave
Tallmadge, OH 44278-2328
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Theodore a Buccilli Jr DPM's NPI number?
- Theodore a Buccilli Jr DPM's National Provider Identifier (NPI) is 1528024619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theodore a Buccilli Jr DPM?
- Theodore a Buccilli Jr DPM is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Theodore a Buccilli Jr DPM located?
- Theodore a Buccilli Jr DPM's practice location on file with NPPES is 116 East Ave, Tallmadge, OH 44278-2328.
- What is Theodore a Buccilli Jr DPM's phone number?
- The practice phone number listed in the NPPES registry for Theodore a Buccilli Jr DPM is (330) 633-3445.
- Who is the authorized official for Theodore a Buccilli Jr DPM?
- The authorized official listed on Theodore a Buccilli Jr DPM's NPPES record is Susan Cerimele, Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theodore a Buccilli Jr DPM's NPI active?
- Yes — Theodore a Buccilli Jr DPM's NPI (1528024619) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.