SOUTHERN OHIO SURGICAL ASSOCIATES, INC.


Address: 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-2638
Phone: 7403538661

SOUTHERN OHIO SURGICAL ASSOCIATES, INC. (NPI# 1528050945) 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) 1528050945
Entity Type Organization
Organization Name SOUTHERN OHIO SURGICAL ASSOCIATES, INC.
Practice Address 1711 27th St
Braunlin Bldg, Suite 306
Portsmouth
OH 45662-2638
Practice Telephone 7403538661
Practice Fax Number 7403543254
Mailing Telephone 7403538661
Mailing Fax Number 7403543254
Enumeration Date 2005-08-22
Last Update Date 2011-01-27
Authorized Official Name THOMAS L KHOURY (PRESIDENT)
Authorized Official Telephone 7403538661
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 35-06-5158-K OH Allopathic & Osteopathic Physicians
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
50-00-1711 OH Physician Assistants & Advanced Practice Nursing Providers
Y 208600000X Surgery 35-84596 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 65907073 05
OH 0317875 05

Office Location

Street Address 1711 27TH ST
BRAUNLIN BLDG, SUITE 306
City PORTSMOUTH
State OH
Zip Code 45662-2638

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 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811308257 Samuel L Douglas Surgery 620 John Paul Jones Cir Bldg 2, 2nd Floor, Unit C, Portsmouth, VA 23708-2111 2014-05-19
1356778419 Kevin Thomas Petersen Surgery 620 John Paul Jones Cir Dept General, Portsmouth, VA 23708-2197 2013-10-03
1457618183 Lauren Thompson Surgery 155 Borthwick Ave Ste 301e, Portsmouth, NH 03801-7156 2012-04-19
1457642340 Arthur T Johnson Iv Surgery 4633 Mallard Cres, Portsmouth, VA 23703-2240 2011-04-26
1447319348 Henry Emerson Butler IIi Surgery 533 Elizabeth Pl, Portsmouth, VA 23704-2408 2006-12-06
1215940481 Reymond Guzman Pascual Surgery 704 London Blvd., Portsmouth, VA 23704 2006-08-15
1033142021 Joseph J Lach Surgery 1711 27th Street, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-0000 2006-07-10
1942299565 Jeffery E Parker Surgery 1711 27th St Ste 402, Portsmouth, OH 45662-2669 2005-10-17
1306838719 Thomas L Khoury Surgery 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662-2638 2005-08-22
1336147719 Jeffrey Lynn Riblet Surgery 3640 High St, Suite 2f, Portsmouth, VA 23707-3213 2005-07-11
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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