PROMEDICAL REHAB GROUP INC (NPI# 1528141132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528141132 |
| Entity Type | Organization |
| Organization Name | PROMEDICAL REHAB GROUP INC |
| Practice Address |
1611 27th St Bldg. J. Suite202 Portsmouth OH 45662-6931 |
| Practice Telephone | 7403543344 |
| Practice Fax Number | 7403530585 |
| Mailing Telephone | 7403543344 |
| Mailing Fax Number | 7403530585 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-12-03 |
| Authorized Official Name | TERRENCE B WELSH (PRESIDENT) |
| Authorized Official Telephone | 7403543344 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35060023 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64869563 | 05 | |
| ANTHEM | 000000039284 | 01 | |
| OH | 0246755 | 05 | |
| AETNA | 2492985 | 01 |
| Street Address |
1611 27TH ST BLDG. J. SUITE202 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-6931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225420359 | Jeffrey R Hill Do Inc | Family Medicine | 1611 27th St, Fulton Building Suite 301, Portsmouth, OH 45662-6931 | 2015-02-26 |
| 1558779173 | Keri Kuhn | Nurse Practitioner | 1611 27th St, Suite 201, Fulton Building, Portsmouth, OH 45662-6931 | 2014-07-28 |
| 1124469416 | Amy J. Flinders | Nurse Practitioner | 1611 27th St, Braunlin Building, Suite101, Portsmouth, OH 45662-6931 | 2013-07-15 |
| 1750631156 | Elisa Nicole Gullion | Physician Assistant | 1611 27th St, Fulton Bldg, Ste 204, Portsmouth, OH 45662-6932 | 2012-09-12 |
| 1285917096 | Kari Lynn Ward | Nurse Practitioner | 1611 27th St, Fulton Bldg., Ste 201, Portsmouth, OH 45662-6931 | 2011-09-28 |
| 1487944542 | Mikell N Rase | Pediatrics | 1611 27th St, Fulton Building, Suite 101, Portsmouth, OH 45662-6931 | 2011-04-11 |
| 1134428402 | Ted Justin Stidham | Pediatrics | 1611 27th St, Fulton Building, Suite 101, Portsmouth, OH 45662-6931 | 2011-03-25 |
| 1356530018 | Primary Medical Specialists, Inc | Internal Medicine | 1611 27th St, Fulton Bldg. Suite 101, Portsmouth, OH 45662-6931 | 2007-10-18 |
| 1689861825 | Darren Adams, D.o. L.l.c | Obstetrics & Gynecology | 1611 27th St, Suite 302, Portsmouth, OH 45662-6931 | 2007-10-02 |
| 1134328594 | Samantha L Cook | Pediatrics | 1611 27th St, Fulton Building, Suite 101, Portsmouth, OH 45662-6931 | 2007-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1053772194 | Crystal Newman | Specialist | 2908 N Hill Rd, Portsmouth, OH 45662-2419 | 2016-03-17 |
| 1952695967 | Pmr Meds | Specialist | 3960 Turnpike Rd, Portsmouth, VA 23701-2938 | 2011-06-07 |
| 1770890204 | Reymond G. Pascual Md.,pc | Specialist | 704 London Blvd, Portsmouth, VA 23704 | 2010-09-03 |
| 1114252897 | Sarah Mcneill | Specialist | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2009-10-13 |
| 1912231366 | Laurie Faneuf | Specialist | 750 Lafayette Rd Ste 2, Portsmouth, NH 03801-5497 | 2009-10-01 |
| 1063696227 | Shawn D Crotto | Specialist | 273 Dennett Street, Portsmouth, NH 03801-1379 | 2007-12-24 |
| 1659563153 | Sharon Nichols | Specialist | 903 White Cedar Blvd, Portsmouth, NH 03801-6527 | 2007-08-17 |
| 1992872725 | Doris M Rice | Specialist | 3921 Kingman Ave, Portsmouth, VA 23701-2929 | 2006-11-29 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on PROMEDICAL REHAB GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.