NPIMap

Organization Active NPI

Southern Ohio NP Care, LLC

  • Urgent Care Clinic/Center
  • West Jefferson, OH
National Provider Identifier
1073751673
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOUTHERN OHIO NP CARE, LLC
Practice address
95 Main St
West Jefferson, OH 43162-1178
Phone
(614) 879-7100
Fax
(614) 879-7151
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Mr. Eric James Yoon, APNNPI 1326046798
Title
Owner/Practitioner
Phone
(937) 790-0969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

95 Main St
West Jefferson, OH 43162-1178

Mailing address

40 N Lakeshore Dr
Springboro, OH 45066-8125
Phone (937) 790-0969

Other identifiers 4

IdentifierTypeStateIssuer
1073751673OtherOHANTHEM
29654672700OtherOHBUREAU OF WORMAN'S COMPENSATION
9110306OtherOHAETNA
2926454MedicaidOH

Other names 1

  • Urgent Care and Internal Medicine of West Jefferson Doing business as

National Provider Directory

National Provider Directory

Locations

72 S Main St
London, OH 43140
Phone (614) 879-7100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1073751673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N LAKESHORE DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668125",
            "telephone_number": "937-790-0969",
            "fax_number": "937-748-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621178",
            "telephone_number": "614-879-7100",
            "fax_number": "614-879-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO NP CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "937-790-0969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1073751673",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORMAN'S COMPENSATION",
            "identifier": "29654672700",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9110306",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2926454",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care and Internal Medicine of West Jefferson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jefferson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.