MEDICARE: MARK ALAN BUDDIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	35.067139	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255369484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ALAN BUDDIE MD

Provider Business Mailing Address
First Line	:	2400 CORPORATE EXCHANGE DR STE 110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-7606
Country	:	US
Telephone Number	:	614-695-5696
Fax Number	:	877-338-0433

Provider Business Practice Location Address
First Line	:	2400 CORPORATE EXCHANGE DR STE 110
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-7606
Country	:	US
Telephone Number	:	614-695-5696
Fax Number	:	877-338-0433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	02/04/2026

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Directions to “ MARK ALAN BUDDIE MD” Practice Location

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