Individual provider Active NPI

Ruby Kearney, PA-S

  • Physician Assistant
  • Wheelersburg, OH
National Provider Identifier
1336472745
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002953RX Issued in OH
Practice address
8770 Ohio River Rd
Wheelersburg, OH 45694-1918
Phone
(740) 574-9090
Fax
(740) 356-4180
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002953RX OH Primary
Surgical Physician Assistant 363AS0400X 50-002953 OH

Addresses

Primary practice location

8770 Ohio River Rd
Wheelersburg, OH 45694-1918

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other practice location 1

835 W Emmitt Ave
Waverly, OH 45690-1190
Phone (740) 947-7662

Other identifiers 2

IdentifierTypeStateIssuer
0082605MedicaidOH
7100245620MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ruby.kearney@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000095 OH Practitioner - Physician Assistant 5496891939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians

Practice addresses (Care Compare)

1248 Kinneys LN
Portsmouth, OH 45662-2927
Phone (740) 356-7290

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8117

8770 Ohio River Rd
Wheelersburg, OH 45694-1918
Phone (740) 574-9090

Hospital & facility affiliations

  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.002953RXOHMDPhysician Assistant
50-002953OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Surgical CurrentSince Sep 28, 2018 Accepting new patients

Locations

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1711 27th St
Ste 306
Portsmouth, OH 45662
Phone (740) 353-8661

835 W Emmitt Ave
Waverly, OH 45690
Phone (740) 356-5944

8770 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 355-4120

Interoperability endpoints

  • Direct secure messaging: kearneyr@somc.gwaydirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1336472745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 OHIO RIVER RD",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941918",
            "telephone_number": "740-574-9090",
            "fax_number": "740-356-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 W Emmitt Ave",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "456901190",
            "country_code": "US",
            "telephone_number": "740-947-7662",
            "fax_number": "740-941-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "RUBY",
        "credential": "PA-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002953RX",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50-002953",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082605",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100245620",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruby.kearney@somc.medicity.net",
            "affiliation": "N",
            "address_1": "8770 Ohio River Rd",
            "city": "Wheelersburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456941918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheelersburg, OH

Sources for this page

Verify at the official NPI Registry.