Kimberly S. Umhoefer DO Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34-00-7109 Issued in OH

Legal business name

KIMBERLY S. UMHOEFER DO INC

Practice address

1729 Kinneys LN
Suite 201
Portsmouth, OH 45662-3165

Phone

(740) 355-8930

Fax

(740) 354-2936

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Sue Umhoefer, DO

Title

Physician Owner

Phone

(740) 355-8930

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

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.

• Farryn R Bussa, CNP

  • Nurse Practitioner
  • Portsmouth, OH
  • NPI 1457792152
  NPD (past)
• Jesse P Houghton, M.D.

  • Gastroenterology Physician
  • Portsmouth, OH
  • NPI 1457529125
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1629180401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 KINNEYS LN",
            "address_2": "SUITE 201",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623165",
            "telephone_number": "740-355-8930",
            "fax_number": "740-354-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 KINNEYS LN",
            "address_2": "SUITE 201",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623165",
            "telephone_number": "740-355-8930",
            "fax_number": "740-354-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY S. UMHOEFER DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "UMHOEFER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "740-355-8930",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-7109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000337972",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "36278546300",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00174556",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "362785463012",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119326",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.