Active NPI
Ruby Kearney, PA-S
- Physician Assistant
- Wheelersburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.002953RX
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082605 | Medicaid | OH | |
| 7100245620 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.59 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002953RX | OH | MD | Physician Assistant |
| 50-002953 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Surgical | Current | 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
- 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.
-
- Family Medicine Physician
- Portsmouth, OH
- NPI 1457467227
-
- Diagnostic Radiology Physician
- Portsmouth, OH
- NPI 1366686230
Surgical
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1053342816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.