CMS-1500 Box 24J / 33a • NPI
1669550695
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
224P00000X (CMS 56)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist
Box 32 Service Location & ZIP+4
3187 WESTERN ROW RD, SUITE 106, MAINEVILLE, OH, 45039-8045
✓ 9-Digit EDI 837 ZIP+4 (45039-8045)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1669550695 (BUCKEYE ORTHOPEDIC DESIGN, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1669550695 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BUCKEYE ORTHOPEDIC DESIGN, INC. |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist NUCC Code: 224P00000X (Prosthetist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3187 WESTERN ROW RD, SUITE 106, MAINEVILLE, OH, 45039-8045 |
| Practice Telephone / Fax | Tel: (513) 770-5550 | Fax: (513) 770-4190 |
| Administrative Mailing Address | 3187 WESTERN ROW RD, MAINEVILLE, OH, 45039-8045 |
| Enumeration & Last Sync | Enumerated: 2006-11-01 | CMS Record Updated: 2014-01-22 |
| Authorized Official | MARK BONDURANT (President Clinical Director) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (224P00000X)
What Does Taxonomy Code 224P00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 224P00000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BUCKEYE ORTHOPEDIC DESIGN, INC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
222Z00000X — Plain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Orthotist | State: OH | License: LPO 9 | Primary: Secondary |
335E00000X — Prosthetic/Orthotic SupplierPlain English: Licensed & Credentialed Suppliers — Prosthetic — Orthotic Supplier | State: OH | License: LPO 9 | Primary: Secondary |
224P00000X — ProsthetistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist | State: OH | License: LPO 9 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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