SOMC MEDICAL CARE FOUNDATION, INC.


Address: 1711 27th St, Braunlin Building, Suite 206, Portsmouth, OH 45662-2654
Phone: 7403568772

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Office Location

Street Address 1711 27TH ST
BRAUNLIN BUILDING, SUITE 206
City PORTSMOUTH
State OH
Zip Code 45662-2654

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PORTSMOUTH
Zip Code 45662

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Dataset Information

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.

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