South Charleston Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35051235 Issued in OH

Legal business name

SOUTH CHARLESTON MEDICAL CENTER

Practice address

1176 E Home Rd
Suite O
Springfield, OH 45503-2726

Phone

(937) 398-0051

Fax

(937) 398-0054

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Marvin H. Williams Jr., M.D.NPI 1841300159

Title

Physician/Owner

Phone

(937) 398-0051

Specialties & licenses 1

Addresses

Practitioners 2

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

• Marvin H. Williams Jr., M.D.

  • Emergency Medicine Physician
  • Springfield, OH
  • NPI 1841300159

  Family Medicine

  NPD (past) Authorized official
• Lucinda J. Knapp, D.O.

  • Family Medicine Physician
  • Springfield, OH
  • NPI 1184734477
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215047535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 E HOME RD",
            "address_2": "SUITE O",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032726",
            "telephone_number": "937-398-0051",
            "fax_number": "937-398-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 E HOME RD",
            "address_2": "SUITE O",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032726",
            "telephone_number": "937-398-0051",
            "fax_number": "937-398-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CHARLESTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "937-398-0051",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35051235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Somodi, M.A. CCC-SLP
• Carley Sontag
• Adam Sorensen, LPCC-S
• Jenae Sosebee
• Sound Inpatient Physicians of Ohio, LLC
• Southbrook Health Care Center, Inc.
• Southern Ohio Emergency Physicians LLP
• Debra Sparks
• Jeremy Sparks
• Rachel Sparks, OTR/L

• Family Medicine Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.