Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore a Buccilli Jr DPM

Organization Podiatrist · NPI 1528024619

Theodore a Buccilli Jr DPM is a Podiatrist in Tallmadge, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006

Practice location Address checks out

116 E Ave
Tallmadge, OH 44278-2328
Phone: (330) 633-3445
Fax: (330) 633-6028
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 36003352 (OH)

Record details

NPI number1528024619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Cerimele — Billing · (330) 633-3445
NPI enumeratedApril 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address116 East Ave, Tallmadge, OH 44278-2328

Other providers in Tallmadge