Dr. Theodore A Buccilli Jr. is a Ravenna, Ohio based podiatrist who is specialized in Podiatry. Active license number of Dr. Theodore A Buccilli Jr. for Podiatry is 36003352 in Ohio.
Dr. Theodore A Buccilli Jr. is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Theodore A Buccilli Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Gender: | Male |
| Practice Address: | 4403 Clover Dr, Ravenna,
Ohio, 44266-8636 |
| Phone: | 330-687-7464 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1164413019 |
| NPI Enumeration Date: | 31 Oct, 2005 |
| NPI Last Update On: | 15 Aug, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Theodore A Buccilli Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 36003352 | Podiatry | Ohio | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5500 Armstrong Rd,
Battle Creek, Michigan |
| Zip: | 49037-7314 |
| Phone Number: | 269-966-5600 |
| Fax Number: | -- |
Patients can reach Dr. Theodore A Buccilli Jr. at
4403 Clover Dr, Ravenna, Ohio or can
call to book an appointment on 330-687-7464.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.