Cody Tyler Delaney (NPI# 1811469968, PAC ID# 6507106515) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1811469968 |
| PAC ID by PECOS | 6507106515 |
| Professional Enrollment ID | I20190328001445 |
| Full Name | Cody Tyler Delaney |
| Organization Legal Name | SOUTHERN OHIO SURGICAL ASSOCIATES, INC. |
| Address |
1711 27th St Suite 306 Portsmouth OH 45662-2669 |
| Phone Number | 7403538661 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688569676 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360008 | SOUTHERN OHIO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1711 27th St, Suite 306, Portsmouth, OH 45662-2669 | 7403538661 | SOUTHERN OHIO SURGICAL ASSOCIATES, INC. |
| Organization Legal Name | SOUTHERN OHIO SURGICAL ASSOCIATES, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynsey Marie Arey | Nurse Practitioner | Southern Ohio Surgical Associates, Inc. | 1711 27th St, Suite 306, Portsmouth, OH 45662-2669 |
| Christine Williams | Nurse Practitioner | Southern Ohio Surgical Associates, Inc. | 1711 27th St, Suite 306, Portsmouth, OH 45662-2669 |
| Thomas L Khoury | General Surgery | Southern Ohio Surgical Associates, Inc. | 1711 27th St, Suite 306, Portsmouth, OH 45662-2669 |
| Street Address |
1711 27TH ST SUITE 306 |
| City | PORTSMOUTH |
| State | OH |
| Zip | 45662-2669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynsey Marie Arey | Nurse Practitioner | Southern Ohio Surgical Associates, Inc. | 1711 27th St, Suite 306, Portsmouth, OH 45662-2669 |
| Jared Carson Bentley | Orthopedic Surgery | Somc Medical Care Foundation, Inc. | 1711 27th St, Portsmouth, OH 45662-2654 |
| Yousef K Kaid | Internal Medicine | Somc Medical Care Foundation, Inc. | 1711 27th St, Portsmouth, OH 45662-2654 |
| Christine Williams | Nurse Practitioner | Southern Ohio Surgical Associates, Inc. | 1711 27th St, Suite 306, Portsmouth, OH 45662-2669 |
| Thomas L Khoury | General Surgery | Southern Ohio Surgical Associates, Inc. | 1711 27th St, Suite 306, Portsmouth, OH 45662-2669 |
| Angela Y Rackley | Neurology | Somc Medical Care Foundation, Inc. | 1711 27th St, Portsmouth, OH 45662-2654 |
| Reena Samuel | Nephrology | Southern Ohio Nephrology, Inc. | 1711 27th St, Portsmouth, OH 45662-2638 |
| Ernesto Espe Banalagay | Nephrology | Southern Ohio Nephrology, Inc. | 1711 27th St, Portsmouth, OH 45662-2638 |
| Philip A Witek | Physical Medicine and Rehabilitation | Somc Medical Care Foundation, Inc. | 1711 27th St, Portsmouth, OH 45662-2654 |
| Michelle R Dillow | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 1711 27th St, Portsmouth, OH 45662-2654 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul S Cwikla | Podiatry | 1605 E Eleventh St, Portsmouth, OH 45662 | |
| David K Byers | Infectious Disease | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Ryan F Sandlin | Obstetrics/gynecology | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Zachary Harr | Physician Assistant | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Tiffany L Harris | Certified Nurse Midwife (cnm) | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Joseph W Herrmann | Vascular Surgery | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Phillip D Roberts | Family Medicine | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Jeffrey E Parker | General Surgery | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Nathan D Bennington | Diagnostic Radiology | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
| Dalkeith F Tucker | Emergency Medicine | Epmg of Ohio Inc Pa | 1805 27th St, Portsmouth, OH 45662-2640 |
| Find all physicians in zip 45662 | |||
| City | PORTSMOUTH |
| Zip Code | 45662 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORTSMOUTH + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.