OH CLINIC, P.C. (NPI# 1891046017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891046017 |
| Entity Type | Organization |
| Organization Name | OH CLINIC, P.C. |
| Practice Address |
257 S Main St Reidsville GA 30453-4605 |
| Mailing Address |
Po Box 519 Reidsville GA 30453-0519 |
| Practice Telephone | 9125574315 |
| Practice Fax Number | 9125573338 |
| Mailing Telephone | 9125574315 |
| Mailing Fax Number | 8125573338 |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |
| Authorized Official Name | DR. SANG WAN OH (PHYSICIAN) |
| Authorized Official Telephone | 9125574315 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 16117 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00012317A | 05 |
| Street Address |
257 S MAIN ST |
| City | REIDSVILLE |
| State | GA |
| Zip Code | 30453-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1548750110 | Benjamin Addril Clark | Pharmacist | Se Regional Pharmacy Attn: Ben Clark, 300 First Avenue South, Reidsville, GA 30453 | 2018-05-18 |
| 1770824351 | Elite Care Dme,llc | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2013-03-07 |
| 1003154766 | Rebekah Hollis Parker | Occupational Therapist | 247 A South Main Street, Reidsville, GA 30453 | 2013-01-30 |
| 1629359419 | D. Wilson Inc. | Durable Medical Equipment & Medical Supplies | 121 South Main Street Unit A, Reidsville, GA 30453 | 2011-09-07 |
| 1417278029 | Tattnall Community Ems | Ambulance | 194 John O Parker Dr., Reidsville, GA 30453 | 2010-06-17 |
| 1518122563 | Brenda Marie Black | Licensed Practical Nurse | 150 Memorial Drive, 150 Memorial Drive, Reidsville, GA 30453 | 2008-07-18 |
| 1063694404 | Ihori Kameyama | Counselor | 150 Memorial Dr., Reidsville, GA 30453 | 2007-11-28 |
| 1710947403 | Donald Franklin Kennedy Jr. | Specialist | 131 Memorial Drive, Reidsville, GA 30453 | 2006-03-25 |
| 1801438676 | Olive Care Durable Medical & Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2019-10-14 |
| Find all providers in zip 30453 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265545115 | Sang Wan Oh | General Practice | 257 South Main Street, Reidsville, GA 30427 | 2006-08-16 |
| 1265949788 | Margaret Bowen Md Pllc | General Practice | 1415 Freeway Dr, Reidsville, NC 27320-7105 | 2018-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
| 1447861950 | Phynova Mso, LLC | General Practice | 1718 Peachtree St Nw Ste 380, Atlanta, GA 30309-2498 | 2020-08-10 |
| 1811507247 | Magnolia Medical Center LLC | General Practice | 101 Chase Ct Nw Ste B, Milledgeville, GA 31061-7188 | 2020-07-31 |
| 1952927279 | Total Health Solutions Medical Center | General Practice | 12220 Birmingham Hwy Ste A, Milton, GA 30004-4184 | 2020-06-23 |
| 1386260131 | Midnight Rose, LLC | General Practice | 6380 Bells Ferry Rd, Acworth, GA 30102-5435 | 2020-06-17 |
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1053946004 | Proactive Medical Center | General Practice | 3455 Peachtree Industrial Blvd Ste 910, Duluth, GA 30096-6502 | 2020-03-10 |
| 1285265546 | Idea Body Institute Atlanta Asc | General Practice | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA 30305-3292 | 2020-01-27 |
| 1730729849 | Summit Health Primary and Urgent Care LLC | General Practice | 120 Handley Rd Bldg 400 Ste #410, Tyrone, GA 30290-3029 | 2020-01-07 |
| 1770121030 | New Life Medical Centers Georgia LLC | General Practice | 3550 Lenox Rd Ne Ste 2100, Atlanta, GA 30326-1810 | 2019-12-18 |
| Find all providers with the same taxonomy | ||||
| City | REIDSVILLE |
| Zip Code | 30453 |
Please comment or provide details below to improve the information on OH CLINIC, P.C..
| 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.