Individual provider · Type 1 NPI
Theodore A. Buccilli Jr., DPM
Podiatrist · Ravenna, OH
Practice location
4403 Clover Dr
Ravenna, OH 44266-8636
Mailing address
5500 Armstrong Rd
Battle Creek, MI 49037-7314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist Primary | 213E00000X | 36003352 (OH) |
Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Other podiatrist providers in Ravenna
About NPI 1164413019
Theodore A. Buccilli Jr., DPM's National Provider Identifier is 1164413019, issued on Oct 31, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Ravenna, OH. The record was last updated on Aug 15, 2025.