AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO (NPI# 1588038236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588038236 |
| Entity Type | Organization |
| Organization Name | AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO |
| Practice Address |
1834 Oakland Ave Portsmouth OH 45662-2934 |
| Mailing Address |
1834 Oakland Ave Portsmouth OH 45662-9310 |
| Practice Telephone | 7402448266 |
| Mailing Telephone | 7402448266 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | AMY J FLINDERS (NURSE PRACTITIONER) |
| Authorized Official Telephone | 7403574503 |
| Authorized Official Credential | MSN, RN, FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
COA 14765-NP | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0089230 | 05 |
| Street Address |
1834 OAKLAND AVE |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-2934 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992214589 | Uradu Medical Services | Clinic/Center | 802 Clare Ave Ste 102, Portsmouth, OH 45662-2583 | 2017-09-26 |
| 1912164146 | Community Action Committee of Pike County | Clinic/Center | 23030 St Rt 73, Family Health Center West Portsmouth, Portsmouth, OH 45663 | 2008-05-16 |
| 1578974929 | Community Action Committee of Pike County | Clinic/Center | 621 Broadway St, Portsmouth, OH 45662-4788 | 2014-05-19 |
| 1083945042 | Community Action Committee of Pike County | Clinic/Center | 717 5th St, Portsmouth, OH 45662-4007 | 2010-01-14 |
| 1922281070 | Coastal Pediatrics | Clinic/Center | 200 Griffin Rd, Suite 15, Portsmouth, NH 03801-7145 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426279 | Next Direct | Clinic/Center | 8250 Kenwood Crossing Way Ste 201, Cincinnati, OH 45236-3669 | 2020-10-28 |
| 1013520014 | Chrysalis Health and Wellness | Clinic/Center | 1005 E State St Ste E, Athens, OH 45701-2151 | 2020-08-28 |
| 1811507668 | Priority Medical Family Practice, LLC | Clinic/Center | 1128 Linden Ave, Zanesville, OH 43701-2908 | 2020-08-06 |
| 1932727849 | Muskingum Valley Health Centers | Clinic/Center | 915 Putnam Ave, Zanesville, OH 43701-5547 | 2020-07-07 |
| 1790309284 | Emerika Mobile Health LLC | Clinic/Center | 28 Park Ave W Ste 701, Mansfield, OH 44902-1640 | 2020-06-01 |
| 1477175768 | Virtue Wellness, LLC | Clinic/Center | 7660 Silver Fox Dr, Columbus, OH 43235-1835 | 2020-05-11 |
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1750926317 | Neuroradiance Integrative Health Initiative, Ltd | Clinic/Center | 110 Polaris Pkwy Ste 120, Westerville, OH 43082-8028 | 2019-11-07 |
| 1033754569 | Integrative Medicine & Virtualcare Plus LLC | Clinic/Center | 5212a Kings Mills Rd # 529, Mason, OH 45040-2319 | 2019-11-07 |
| 1912558669 | Careatc | Clinic/Center | 132 Artino St Ste 14, Oberlin, OH 44074-1206 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO.
| 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.