SOMC MEDICAL CARE FOUNDATION, INC. (NPI# 1013239953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013239953 |
Entity Type | Organization |
Organization Name | SOMC MEDICAL CARE FOUNDATION, INC. |
Practice Address |
1711 27th St Braunlin Building, Suite 206 Portsmouth OH 45662-2654 |
Mailing Address |
1735 27th St Waller Building, Suite B06 Portsmouth OH 45662-2677 |
Practice Telephone | 7403568772 |
Practice Fax Number | 7403542138 |
Mailing Telephone | 7403568008 |
Mailing Fax Number | 7403537900 |
Enumeration Date | 2010-02-19 |
Last Update Date | 2010-02-19 |
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 HEART & VASCULAR ASSOCIATES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
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 |
1679892897 | Somc Medical Care Foundation, Inc. | Internal Medicine | 1735 27th St, Waller Building, Suite 102, Portsmouth, OH 45662-2677 | 2010-05-27 |
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 |
1711 27TH ST BRAUNLIN BUILDING, SUITE 206 |
City | PORTSMOUTH |
State | OH |
Zip Code | 45662-2654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306838719 | Thomas L Khoury | Surgery | 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-2638 | 2005-08-22 |
1295399509 | Chrisitne Williams | Nurse Practitioner | 1711 27th St, Portsmouth, OH 45662-2654 | 2019-04-23 |
1437520673 | Lora Stone | Nurse Practitioner | 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662-2654 | 2015-10-14 |
1790177665 | Ashley Wolfram | Physician Assistant | 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662-2654 | 2015-03-02 |
1518364546 | Jason Lee Swords | Nurse Practitioner | 1711 27th St, Braunlin Building, Suite 403, Portsmouth, OH 45662-2654 | 2014-11-19 |
1023436292 | Lynsey Arey | Nurse Practitioner | 1711 27th St, Braunlin Building Suite 306, Portsmouth, OH 45662-2654 | 2014-04-03 |
1245665090 | Paul David Rase | Nurse Practitioner | 1711 27th St, Braunlin Building, Suite 206, Portsmouth, OH 45662-2654 | 2013-09-12 |
1225461643 | Amy L Kilburn | Nurse Practitioner | 1711 27th St, Braunlin Building, Suite 401, Portsmouth, OH 45662-2654 | 2013-08-21 |
1629316435 | Ricardo E Orozco | Specialist/Technologist, Other | 1711 27th St, Braunlin Bldg, Suite 206, Portsmouth, OH 45662-2654 | 2013-01-29 |
1649518424 | Jonathan David Crist | Specialist/Technologist, Other | 1711 27th St, Braunlin Building, Suite 206, Portsmouth, OH 45662-2654 | 2013-01-29 |
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 | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568761716 | Jean Touchan | Internal Medicine | 73 Corporate Dr Ste 201, Portsmouth, NH 03801 | 2011-03-26 |
1518122779 | Whitney Coppolino | Internal Medicine | 67 Corporate Dr, Ste 200, Portsmouth, NH 03801 | 2008-07-26 |
1023114154 | Hullukunte Bylappa Shivaprasad | Internal Medicine | 2001 Scioto Trail, Ste 200, Portsmouth, OH 45662 | 2006-09-16 |
1053428862 | Robert J. Accettola | Internal Medicine | 3737 High St, Portsmouth, VA 23707-2405 | 2006-08-25 |
1093821027 | Sriharsha Velury | Internal Medicine | 2001 Scioto Trl Ste 200, Portsmouth, OH 45662-5122 | 2006-08-22 |
1356321442 | Jay Mohamad Hamze | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2006-01-17 |
1205815024 | Harry J Driedger | Internal Medicine | 1870 Coles Blvd, Portsmouth, OH 45662-6900 | 2006-01-10 |
1487638409 | Mark I Jacobs | Internal Medicine | 73 Corporate Dr Ste 101, Portsmouth, NH 03801-2847 | 2005-12-02 |
1548711187 | Porsmouth Hospital Corporation | Internal Medicine | 1901 Argonne Rd, Portsmouth, OH 45662-2827 | 2016-10-19 |
1427203652 | Tarun Nagrani | Internal Medicine | 1711 27th St Ste 206, Portsmouth, OH 45662-2669 | 2008-12-02 |
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.