Active NPI
Southern Ohio Radiologists Inc
- Diagnostic Radiology Physician
- Portsmouth, OH
National Provider Identifier
1669472452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SOUTHERN OHIO RADIOLOGISTS INC
- Practice address
- 1805 27TH St
Portsmouth, OH 45662-2640 - Phone
- (740) 354-5000
- NPI assigned
- Jul 22, 2005
- 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
- Scott Logan, MD
- Title
- President
- Phone
- (740) 354-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1805 27TH St
Portsmouth, OH 45662-2640
Mailing address
L-2603
PO Box 600001
Columbus, OH 43260-0001
Phone (866) 871-7822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2478162 | Medicaid | OH | |
| 6593462200 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1669472452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "L-2603",
"address_2": "PO BOX 600001",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432600001",
"telephone_number": "866-871-7822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 27TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622640",
"telephone_number": "740-354-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN OHIO RADIOLOGISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-354-5000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2478162",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6593462200",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
- Southern Ohio Medical Center
- Southern Ohio Medical Center
- Southern Ohio Medical Center
- Southern Ohio Medical Imaging Consultants Inc
- Southern Ohio Nephrology, Inc.
- Southern Ohio Regional Pathology, Inc
- Southern Ohio Surgical Associates, Inc.
- Laura Sova, FNP-C
- Kala R Sowards Rhea, CDCA
- Brittany M Sowards, CDCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.