SOMC MEDICAL CARE FOUNDATION, INC. (NPI# 1679892897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679892897 |
| Entity Type | Organization |
| Organization Name | SOMC MEDICAL CARE FOUNDATION, INC. |
| Practice Address |
1735 27th St Waller Building, Suite 102 Portsmouth OH 45662-2677 |
| Mailing Address |
1735 27th St Waller Building, Suite B06 Portsmouth OH 45662-2677 |
| Practice Telephone | 7403566740 |
| Practice Fax Number | 7403559281 |
| Mailing Telephone | 7403568008 |
| Mailing Fax Number | 7403537900 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |
| Authorized Official Name | MR. BEN L GILL (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 7403568008 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | DBA SOMC PHYSICIAN SPECIALTY ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
OH | Allopathic & Osteopathic Physicians | |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY MEDICAID | 65921835 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245545706 | Somc Medical Care Foundation, Inc. | Family Medicine | 207 Plummers Ln, Vanceburg, KY 41179-7683 | 2010-08-09 |
| 1104131663 | Somc Medical Care Foundation, Inc. | Nurse Practitioner | 1805 27th St, Portsmouth, OH 45662-2640 | 2010-08-09 |
| 1013239953 | Somc Medical Care Foundation, Inc. | Internal Medicine | 1711 27th St, Braunlin Building, Suite 206, Portsmouth, OH 45662-2654 | 2010-02-19 |
| 1366686230 | Somc Medical Care Foundation, Inc. | Radiology | 1805 27th St, Portsmouth, OH 45662-2640 | 2009-04-23 |
| 1568618866 | Somc Medical Care Foundation, Inc. | Internal Medicine | 1735 27th St, Waller Building, Suite 108, Portsmouth, OH 45662-2677 | 2008-08-18 |
| 1629247010 | Somc Medical Care Foundation, Inc. | Nurse Anesthetist, Certified Registered | 1735 27th St, Building C, Suite B06, Portsmouth, OH 45662-2677 | 2008-02-29 |
| 1457467227 | Somc Medical Care Foundation, Inc. | Plastic Surgery | 1735 27th St, Waller Building, Suite B06, Portsmouth, OH 45662-2677 | 2006-08-22 |
| Street Address |
1735 27TH ST WALLER BUILDING, SUITE 102 |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306375 | Rebecca Joan Schoettle | Pediatrics | 1735 27th St, Suite 201, Portsmouth, OH 45662-2657 | 2005-06-14 |
| 1184172538 | Carla D Williams | Social Worker | 1735 27th St, Waller Building, Suite 302, Portsmouth, OH 45662-2677 | 2016-09-14 |
| 1689054314 | Kayla Renee Harris | Nurse Practitioner | 1735 27th St, Waller Building, Suite 302, Portsmouth, OH 45662-2677 | 2015-06-08 |
| 1366874471 | Kelley Elizabeth Smith | Emergency Medicine | 1735 27th St, Waller Bldg. Suite B 06, Portsmouth, OH 45662-2677 | 2013-07-31 |
| 1285987248 | Bryan C Carney | Emergency Medicine | 1735 27th St, Waller Bldg, Suite B 06, Portsmouth, OH 45662-2677 | 2012-10-16 |
| 1396000907 | Stephanie Lynne Roberson | Emergency Medicine | 1735 27th St, Waller Bldg, Suite B 06, Portsmouth, OH 45662-2677 | 2012-07-10 |
| 1407122369 | Kathy Adams | Specialist/Technologist, Other | 1735 27th St, Portsmouth, OH 45662-2677 | 2012-03-26 |
| 1669748489 | Christopher Alan Wright | Psychiatry & Neurology | 1735 27th St, Waller Building, Suite 302, Portsmouth, OH 45662-2677 | 2012-03-26 |
| 1174807697 | Rebecca J Schoettle Pediatrics Inc | Pediatrics | 1735 27th St, Suite 201, Portsmouth, OH 45662-2677 | 2011-10-03 |
| 1396027041 | Jacinda L Paxson | Emergency Medicine | 1735 27th St, Waller Building, Suite B06, Portsmouth, OH 45662-2677 | 2011-09-19 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962821967 | Jody Manners | Psychiatry & Neurology | 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 | 2014-04-08 |
| 1225343742 | Karen P. Lauze, LLC | Psychiatry & Neurology | 875 Greenland Rd Suite B4, Portsmouth, NH 03801 | 2010-08-09 |
| 1093998676 | Randy Kozel Md | Psychiatry & Neurology | 112 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2007-12-06 |
| 1619178621 | Angela Rackley | Psychiatry & Neurology | 1711 27th St Ste 103a, Portsmouth, OH 45662-2654 | 2007-05-29 |
| 1043269434 | Augusto C Juguilon | Psychiatry & Neurology | 1711 27th St # 103a, Portsmouth, OH 45662-2654 | 2006-05-10 |
| 1376539098 | Patricia A Locuratolo | Psychiatry & Neurology | 875 Greenland Rd, Suite B4-5, Portsmouth, NH 03801-4164 | 2005-09-27 |
| 1699775486 | Randy B Kozel | Psychiatry & Neurology | 112 Clock Tower Square, Portsmouth, RI 02871-1365 | 2005-07-22 |
| 1598762551 | Grace A. Medeiros | Psychiatry & Neurology | 2444 E Main Rd, Portsmouth, RI 02871-4025 | 2005-07-06 |
| 1396199105 | Stephen Nnodim Jr. | Psychiatry & Neurology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-04-18 |
| 1740675503 | Sarah Emily Woodson Smith | Psychiatry & Neurology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2015-03-30 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
Please comment or provide details below to improve the information on SOMC MEDICAL CARE FOUNDATION, 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.