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

Kelli Suzanne Buckner, DO

Individual provider Family Medicine Physician · NPI 1417269622

Kelli Suzanne Buckner, DO is a Family Practice in Cleveland, Ohio. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2010, 16 years ago. Practices with Summa Physicians LLC, a 688-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
16
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
OH
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

16888 Harvard Ave
Cleveland, OH 44128-2208
Phone: (330) 323-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34.010614 (OH)

Record details

NPI number1417269622
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 6, 2010
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021
Mailing address13438 Sebe Dr, Marshallville, OH 44645-9767

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2010 (16 years in practice)
Group practice Summa Physicians Llc — 688 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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