Organization Active NPI

Ohio Valley Physicians Inc

  • Rural Health Clinic/Center
  • Inez, KY
National Provider Identifier
1104574102
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
OHIO VALLEY PHYSICIANS INC
Practice address
3165 Blacklog Rd
Inez, KY 41224-9113
Phone
(606) 534-3435
Fax
(606) 534-3436
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Melissa Ashworth
Title
Credentialing Specialist
Phone
(304) 429-1088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

3165 Blacklog Rd
Inez, KY 41224-9113

Mailing address

PO Box 390
Huntington, WV 25708-0390

Other names 1

  • OVP Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220429001978 KY Part A Provider - Rural Health Clinic 8729032966 Practice locations: Inez, KY

Rural health clinic certification: CCN B03894

Legal name
OHIO VALLEY PHYSICIANS INC
Doing business as
OVP HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 14, 2022
Last certification
Jul 14, 2022
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Apr 11, 2001 in OH
Enrollment address
3165 Blacklog Rd
Inez, KY 41224-9113

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Ohio Valley Physicians73 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

6500 Highway 645
Ste 120
Inez, KY 41224
Phone (606) 534-4002

9613 Millard Hwy
Ste A
Pikeville, KY 41501

59 Thacker Rd
Pikeville, KY 41501
Phone (606) 637-2256

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Stacey C Shy Individual Corporate OfficerChief Executive Officer Apr 1, 2006
Robert a Hess Individual 5% Or Greater Direct Ownership Interest Jul 1, 1999 45%
Corporate OfficerPresident Jul 1, 1999
Corporate DirectorPresident Jul 1, 1999
Operational/Managerial ControlPresident Jul 1, 1999
Stephen C Shy Individual 5% Or Greater Direct Ownership Interest Jul 1, 2018 50%
Corporate OfficerVice-President Jul 1, 2018
Corporate DirectorVice-President Jul 1, 2018
Operational/Managerial ControlVice-President Jul 1, 2018
Rachel Blankenship Individual W-2 Managing EmployeeLead Credentialing Specialist Apr 1, 2022
Jonathan a Hess Individual 5% Or Greater Direct Ownership Interest Jan 1, 2016 5%
Corporate OfficerSecetary Jan 1, 2016
Corporate DirectorSecetary Jan 1, 2016
Operational/Managerial ControlSecetary Jan 1, 2016
April Means Individual Corporate OfficerVice President Revenue Apr 1, 2022

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 138

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

View all 138

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1104574102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257080390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 BLACKLOG RD",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412249113",
            "telephone_number": "606-534-3435",
            "fax_number": "606-534-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "ASHWORTH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "304-429-1088"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVP Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OVP Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Inez, KY

Sources for this page

Verify at the official NPI Registry.