NPIMap

Organization Active NPI

Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
National Provider Identifier
1053342816
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SOUTHERN OHIO MEDICAL CENTER
Practice address
1805 27TH St
Portsmouth, OH 45662-2640
Phone
(740) 356-5000
Fax
(740) 353-2951
NPI assigned
Jul 6, 2006
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dean Wray
Title
Vice President of Finance
Phone
(740) 356-8540

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary
Clinical Medical Laboratory 291U00000X 36D0350966 OH

Addresses

Primary practice location

1805 27TH St
Portsmouth, OH 45662-2640

Mailing address

1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-8753

Other identifiers 1

IdentifierTypeStateIssuer
7892571MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address somc@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060926000006 OH Part A Provider - Hospital 8325043383

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053342816. Details of each certification follow.

Hospital certification: CCN 360008

Legal name
SOUTHERN OHIO MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 29, 2016
Beds
237
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1959 in OH
Enrollment address
1805 27TH St
Portsmouth, OH 45662-2640
Other Hospital Practice Location
Hospital subgroups
Acute care, Rehabilitation, Psychiatric unit, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Southern Ohio Medical CenterCCN 360008 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elie M Saab Individual Corporate DirectorBoard Member Jan 1, 2015
Gary Duzan Individual Corporate DirectorBoard Member Jul 1, 2006
Robert Dever Individual Corporate DirectorBoard Member Jul 1, 2006
Ben Gill Individual Corporate OfficerCeo Aug 20, 2010
David Fowler Individual Corporate DirectorBoard Member Jul 1, 2007
Tom Reiser Individual Corporate DirectorBoard Member Jan 1, 2016
George Lawson Individual Corporate DirectorBoard Member Jan 24, 2007
Claudia L Burchett Individual Corporate OfficerVP of Nursing Jul 1, 2006
W-2 Managing EmployeeVP of Nursing Jul 14, 1978
Randal Arnett Individual Corporate DirectorDirector Jan 1, 2021
Kara Plummer Individual Corporate OfficerVP Jan 1, 2021
Becky Thiel Individual Corporate DirectorBoard Member Jan 1, 2016
Steven Conley Individual Corporate DirectorBoard Member Jul 1, 2006
Vicki Noel Individual Corporate OfficerVP of Human Resources Jul 1, 2006
Matthew Miller Individual Corporate DirectorBoard Member Jul 1, 2019
Jesse P Houghton Individual Corporate DirectorChief of Staff Elect Jan 1, 2024
Tanya Jana C Escalona Individual Corporate DirectorDirector Jan 1, 2021
Kendall L Stewart Individual Corporate OfficerVP of Medical Affairs Jul 1, 2006
Joseph W Herrmann Individual Corporate DirectorChief of Staff Jan 1, 2024

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 57

Affiliated clinicians 588

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 588

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1053342816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 KINNEYS LN",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622927",
            "telephone_number": "740-356-8753",
            "fax_number": "740-353-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 27TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622640",
            "telephone_number": "740-356-5000",
            "fax_number": "740-353-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "WRAY",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "740-356-8540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0350966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7892571",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "somc@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1805 27th Street",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.