Individual provider Active NPI

John R Radford, MD

  • Pediatrics Physician
  • Portsmouth, OH
National Provider Identifier
1508884503
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.060251 Issued in OH
Practice address
1611 27TH St Ste 101
Portsmouth, OH 45662-6932
Phone
(740) 356-7337
Fax
(740) 356-6304
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.060251 OH Primary

Addresses

Primary practice location

1611 27TH St Ste 101
Portsmouth, OH 45662-6932

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 1

IdentifierTypeStateIssuer
0814631MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.radford@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141208002423 OH Practitioner - Pediatric Medicine 0840512539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Oct 25, 2014 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Oct 25, 2014 Accepting new patients
Southern Ohio Medical Center Past Accepting new patients

Locations

1611 27th St
Ste 101
Portsmouth, OH 45662
Phone (740) 353-4143

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

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

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

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1508884503",
    "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": "1611 27TH ST STE 101",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456626932",
            "telephone_number": "740-356-7337",
            "fax_number": "740-356-6304"
        }
    ],
    "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": "RADFORD",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.060251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0814631",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.radford@somc.medicity.net",
            "affiliation": "N",
            "address_1": "1611 27th St Ste 101",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456626932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.