SOUTHERN OHIO NEPHROLOGY, INC. (NPI# 1962569749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962569749 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OHIO NEPHROLOGY, INC. |
| Practice Address |
1711 27th St Braunlin Bldg. (k) Ste 301 Portsmouth OH 45662-2654 |
| Practice Telephone | 7403545393 |
| Practice Fax Number | 7403539068 |
| Mailing Telephone | 7403545393 |
| Mailing Fax Number | 7403539068 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | DR. REENA SAMUEL-VARIATH (PRESIDENT) |
| Authorized Official Telephone | 7403545393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2222919 | 05 |
| Street Address |
1711 27TH ST BRAUNLIN BLDG. (K) STE 301 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1265421275 | Amaresh Vanga | Internal Medicine | 3235 Academy Ave Ste 301, Portsmouth, VA 23703-3200 | 2005-10-21 |
| 1508208901 | Richard Andrew Plasse | Internal Medicine | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2013-07-25 |
| 1235393059 | Krunal Manubhai Patel | Internal Medicine | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 | 2008-07-10 |
| 1780877902 | Seacoast Kidney & Hypertension Specialists, P.l.l.c. | Internal Medicine | 875 Greenland Rd, Building C-unit 10, Portsmouth, NH 03801-4164 | 2007-08-21 |
| 1114045184 | Sucharit Suresh Joshi | Internal Medicine | 875 Greenland Rd, #c-10, Portsmouth, NH 03801-4164 | 2007-03-27 |
| 1629135462 | Reena Samuel | Internal Medicine | 1711 27th St, Braunlin Bldg. (k) Ste 301, Portsmouth, OH 45662-2638 | 2007-01-02 |
| 1629135470 | Ernesto Banalagay | Internal Medicine | 1711 27th St, Braunlin Bldg Ste 301, Portsmouth, OH 45662-2638 | 2007-01-02 |
| 1972616738 | Portsmouth Nephrology PC | Internal Medicine | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703 | 2006-08-16 |
| 1326076555 | Shiv Kumar | Internal Medicine | 875 Greenland Rd, Building C-unit 10, Portsmouth, NH 03801-4164 | 2006-06-28 |
| 1801850367 | Naresh Matta | Internal Medicine | 875 Greenland Rd, #c-10, Portsmouth, NH 03801-4164 | 2006-04-13 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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| 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.