SOUTHERN OHIO MEDICAL CENTER (NPI# 1760799415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760799415 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OHIO MEDICAL CENTER |
| Other Organization Name | SOMC CANCER CENTER |
| Practice Address |
1121 Kinneys Ln Portsmouth OH 45662-2806 |
| Mailing Address |
8635 State Route 139 Minford OH 45653-9000 |
| Practice Telephone | 7403567461 |
| Practice Fax Number | 7403567488 |
| Mailing Telephone | 7403542989 |
| Mailing Fax Number | 7403567488 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | MS. STEPHANIE LEAH CRAFT (SOCIAL WORKER) |
| Authorized Official Telephone | 7403567461 |
| Authorized Official Credential | LSW/MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
S 0700732 | OH | Hospitals |
| Other Name | Type Code |
|---|---|
| SOMC Cancer Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790716553 | Southern Ohio Medical Center | Home Health | 724 8th Street, Portsmouth, OH 45662 | 2006-07-06 |
| 1053342816 | Southern Ohio Medical Center | Clinical Medical Laboratory | 1805 27th Street, Portsmouth, OH 45662 | 2006-07-06 |
| 1790397784 | Southern Ohio Medical Center | Pharmacy | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-08-20 |
| 1962861047 | Southern Ohio Medical Center | Pharmacy | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 | 2016-02-17 |
| 1366816043 | Southern Ohio Medical Center | Pharmacy | 8770 Ohio River Rd, Wheelersburg, OH 45694-1918 | 2015-11-18 |
| 1316341373 | Southern Ohio Medical Center | Pharmacy | 1805 27th St, Portsmouth, OH 45662-2640 | 2014-10-20 |
| 1386059228 | Southern Ohio Medical Center | Pharmacy | 90 Cic Blvd, West Union, OH 45693-8024 | 2014-06-30 |
| 1174862676 | Southern Ohio Medical Center | Home Health | 207 Plummers Ln, Suite 12, Vanceburg, KY 41179-7683 | 2013-02-05 |
| 1144578436 | Southern Ohio Medical Center | Psychiatric Unit | 1805 27th St, Portsmouth, OH 45662-2640 | 2012-08-17 |
| 1043420755 | Southern Ohio Medical Center | General Acute Care Hospital | 1805 27th St, Portsmouth, OH 45662-2640 | 2007-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHERN OHIO MEDICAL CENTER | 1248 Kinneys Ln, Portsmouth, OH 45662-2927 |
| Street Address |
1121 KINNEYS LN |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357758 | Yinong Liu | Internal Medicine | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2005-06-22 |
| 1639548589 | John L. Harcha | Physician Assistant | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2015-09-22 |
| 1407296536 | Chad D Lore | Nurse Practitioner | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2013-07-03 |
| 1245675800 | Geoffrey V Martin | Radiology | 1121 Kinneys Ln, Portsmouth, OH 45662 | 2013-05-08 |
| 1083057178 | Jami Michelle Lyon | Radiology | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2013-04-09 |
| 1023334000 | Elliot Brin Navo | Radiology | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2010-04-15 |
| 1033371687 | Somc Medical Care Foundation Inc | Radiology | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2008-06-25 |
| 1952596405 | Nanda K. Methuku | Internal Medicine | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2007-09-07 |
| 1417910308 | Li-fen Lien Chang | Radiology | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 | 2006-04-11 |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043420755 | Southern Ohio Medical Center | General Acute Care Hospital | 1805 27th St, Portsmouth, OH 45662-2640 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992154785 | Tina Brown | General Acute Care Hospital | 626 Homewood Dr, Bidwell, OH 45614-9138 | 2016-06-13 |
| 1861851735 | Kc Ashbaugh | General Acute Care Hospital | 839 Hobson St, Napoleon, OH 43545-1665 | 2016-02-19 |
| 1053779686 | Rehabilitative Services Inc. | General Acute Care Hospital | 4390 Buschor Rd, Coldwater, OH 45828-9705 | 2016-02-10 |
| 1942401229 | Amy Sue Crock | General Acute Care Hospital | 11955 Norfield Rd, New Concord, OH 43762-9755 | 2007-05-31 |
| 1871606921 | The Union Hospital Association | General Acute Care Hospital | 659 Boulevard, Dover, OH 44622-2026 | 2006-08-15 |
| 1184621161 | Wayne Healthcare | General Acute Care Hospital | 835 Sweitzer St, Greenville, OH 45331-1007 | 2005-07-05 |
| 1497293625 | Upper Valley Medical Center | General Acute Care Hospital | 3130 N County Road 25a, Troy, OH 45373-1337 | 2017-02-08 |
| 1992248496 | Jamie Hoppe | General Acute Care Hospital | 715 S Taft Ave, Fremont, OH 43420-3237 | 2016-12-01 |
| 1770944175 | Timothy Hayes | General Acute Care Hospital | 4997 Skyline Dr, Cambridge, OH 43725-9729 | 2016-03-11 |
| 1770957185 | Pomerene Hospital | General Acute Care Hospital | 981 Wooster Rd, Millersburg, OH 44654-1536 | 2015-11-23 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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| 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.