Active NPI
Southeastern Ohio Physicians, Inc.
- Surgery Physician
- Cambridge, OH
National Provider Identifier
1477635480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SOUTHEASTERN OHIO PHYSICIANS, INC.
- Practice address
- 100 Clark CT
Cambridge, OH 43725-9395 - Phone
- (740) 432-5685
- Fax
- (740) 432-3812
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra C Neff
- Title
- Office Manager
- Phone
- (740) 432-5685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OH | Primary |
Addresses
Primary practice location
100 Clark CT
Cambridge, OH 43725-9395
Mailing address
100 Clark CT
Cambridge, OH 43725-9395
Phone (740) 432-5685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440017 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Clark Ct
Cambridge, OH 43725
Phone (614) 432-5685
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Cambridge, OH
- NPI 1417039454
-
- Surgery Physician
- Cambridge, OH
- NPI 1427287325
-
- Surgery Physician
- Cambridge, OH
- NPI 1275615296
-
- Vision Therapy Optometrist
- New Market, MD
- NPI 1861869455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1477635480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CLARK CT",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437259395",
"telephone_number": "740-432-5685",
"fax_number": "740-432-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CLARK CT",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437259395",
"telephone_number": "740-432-5685",
"fax_number": "740-432-3812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN OHIO PHYSICIANS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NEFF",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "740-432-5685"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440017",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, OH
- Rachel A Sohonage, LPN
- Todd D. Solomon, M.D.
- Southeast Ohio Rehabilitation Services, LLC
- Southeastern Home Care LLC
- Southeastern Ohio Associated Radiology Inc
- Southeastern Ohio Regional Medical Center Inc
- Southeastern Ohio Regional Medical Center Inc (OhioHealth Southeastern Medical Center Infusion)
- Southern Ohio Emergency Physicians, LLP
- Tracey Sowers
- Christal Sparks
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.