Robert R So (NPI# 1609028117, PAC ID# 9638330483) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1609028117 |
PAC ID by PECOS | 9638330483 |
Professional Enrollment ID | I20120423000243 |
Full Name | Robert R So |
Organization Legal Name | BUC NEWPORT LLC |
Address |
85 Carothers Rd Newport KY 41071-2415 |
Phone Number | 8594317900 |
Gender | M |
Graduation Year | 2000 |
Primary Specialty | GENERAL PRACTICE |
Group Practice PAC ID | 0446574339 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180035 | ST ELIZABETH EDGEWOOD |
180045 | ST ELIZABETH FLORENCE |
Address | Phone | Organization |
---|---|---|
2327 Buttermilk Xing, Crescent Springs, KY 41017-1622 | 8593447900 | BUC CRESCENT SPRINGS LLC |
2025 Declaration Dr, Independence, KY 41051-7983 | 8593717900 | BUC INDEPENDENCE LLC |
85 Carothers Rd, Newport, KY 41071-2415 | 8594317900 | BUC NEWPORT LLC |
625 Chestnut Dr, Suite 106, Walton, KY 41094-7845 | 8594857900 | BLUEGRASS URGENT CARE LLC |
Organization Legal Name | BUC NEWPORT LLC |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ronald W Randolph | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Stephen P Meese | Obstetrics/gynecology | Buc Newport LLC | 401 E 20th St, Covington, KY 41014-1583 |
Lisa J Leonard | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Christine E Romani | Nurse Practitioner | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Charles Johnson | Emergency Medicine | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Robert K Pugh | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Olivia K So | Nurse Practitioner | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Clyde M Brooks Ii | Family Medicine | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Brittany L Wilson | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Keith H Kessler | General Practice | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Street Address |
85 CAROTHERS RD |
City | NEWPORT |
State | KY |
Zip | 41071-2415 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ronald W Randolph | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Lisa J Leonard | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Christine E Romani | Nurse Practitioner | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Charles Johnson | Emergency Medicine | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Robert K Pugh | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Olivia K So | Nurse Practitioner | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Clyde M Brooks Ii | Family Medicine | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Brittany L Wilson | Physician Assistant | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Keith H Kessler | General Practice | Buc Newport LLC | 85 Carothers Rd, Newport, KY 41071-2415 |
Name | Specialty | Organization | Address |
---|---|---|---|
Linda Kokenge | Clinical Social Worker | Northern Kentucky Mental Health Mental Retardation Regional Board | 12 E 5th St, Newport, KY 41071-1618 |
Michael J Meier | Clinical Social Worker | Northern Kentucky Mental Health Mental Retardation Regional Board | 12 E 5th St, Newport, KY 41071-1618 |
Mark Allen Schroer | Internal Medicine | 17 E 6th St, Newport, KY 41071-1803 | |
Keith L Sellers | Optometry | Drs Cooke, Landon and Sellers Optometrist, P.s.c | 59 Carothers Rd, Newport, KY 41071-2415 |
Kristin Leigh Gunn | Optometry | Drs Cooke, Landon and Sellers Optometrist, P.s.c | 59 Carothers Rd, Newport, KY 41071-2415 |
Josiah W Young | Optometry | Drs Cooke, Landon and Sellers Optometrist, P.s.c | 59 Carothers Rd, Newport, KY 41071-2415 |
Christian J Hay | Chiropractic | Greater Cincinnati Spine Center, Inc | 17 Carothers Rd, Newport, KY 41071-2480 |
Laura L Barczewski | Family Medicine | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Sherri L Schwartz | Family Medicine | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Laura Bertrand | Urology | Summit Medical Group, Inc. | 1400 Grand Ave, Newport, KY 41071-2570 |
Find all physicians in zip 41071 |
City | NEWPORT |
Zip Code | 41071 |
Specialty | GENERAL PRACTICE |
City + Specialty | NEWPORT + GENERAL PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.