Leonard Herbert Otworth Iv (NPI# 1841678109, PAC ID# 8820301203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1841678109 |
| PAC ID by PECOS | 8820301203 |
| Professional Enrollment ID | I20161118000973 |
| Full Name | Leonard Herbert Otworth Iv |
| Organization Legal Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Address |
1901 Argonne Rd Portsmouth OH 45662-2827 |
| Phone Number | 7403531978 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6103968029 |
| Number of Group Practice Members | 171 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180009 | KING'S DAUGHTERS' MEDICAL CENTER |
| 360361 | KINGS DAUGHTERS MEDICAL CENTER OHIO |
| 360008 | SOUTHERN OHIO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1901 Argonne Rd, Portsmouth, OH 45662-2827 | 7403531978 | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| 2001 Scioto Trl, Suite 300, Portsmouth, OH 45662-5122 | 7403536390 | ASHLAND HOSPITAL CORPORATION |
| Organization Legal Name | KINGS DAUGHTERS MEDICAL SPECIALTIES INC |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ghaith M Nahlawi | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 1279 Old Abbott Mountain Rd, Prestonsburg, KY 41653-1889 |
| Justin K Dixon | Urology | Kings Daughters Medical Specialties Inc | 2201 Lexington Ave, Ashland, KY 41101-2843 |
| Kevin M Wolfe | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Hassan R Abul Khoudoud | Family Medicine | Kings Daughters Medical Specialties Inc | 1200 Central Ave, Suite 2, Ashland, KY 41101-7575 |
| John K Miller | General Surgery | Kings Daughters Medical Specialties Inc | 14395 State Route 93, Jackson, OH 45640-9798 |
| Ryann A Pangan | Nephrology | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 130, Ashland, KY 41101-2876 |
| Zane A Darnell | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 912 Park Ave, Ironton, OH 45638-1596 |
| Hullukunte B Shivaprasad | Cardiovascular Disease (cardiology) | Kings Daughters Medical Specialties Inc | 8750 Ohio River Rd, Wheelersburg, OH 45694-1918 |
| Susan Aliff | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 613 23rd St, Suite 140, Ashland, KY 41101-2876 |
| Chad J Tarabolous | Hematology/oncology | Kings Daughters Medical Specialties Inc | 2201 Lexington Ave, Ashland, KY 41101-2843 |
| Street Address |
1901 ARGONNE RD |
| City | PORTSMOUTH |
| State | OH |
| Zip | 45662-2827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Wolfe | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Rachel M Ashworth | Certified Registered Nurse Anesthetist (crna) | Riverside Anesthesia Psc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Ryan Johnson | Emergency Medicine | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Chelsey Nicole White | Pulmonary Disease | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Julia A Gilbert | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Charles Conley | Family Medicine | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Jon A Brinkman | Otolaryngology | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Julia Pasquale | Emergency Medicine | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Joshua Lee Harr | Nurse Practitioner | Kings Daughters Medical Specialties Inc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| Tracy L. Barnitz | Certified Registered Nurse Anesthetist (crna) | Riverside Anesthesia Psc | 1901 Argonne Rd, Portsmouth, OH 45662-2827 |
| 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 |
| 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 |
| 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 |
| Find all physicians in zip 45662 | |||
| City | PORTSMOUTH |
| Zip Code | 45662 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORTSMOUTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Leonard Herbert Otworth Iv.
| 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.