Southern Ohio Medical Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHERN OHIO MEDICAL INC

Practice address

25800 State Route 41
Peebles, OH 45660-8953

Phone

(937) 587-5435

Fax

(937) 587-5437

NPI assigned

Jul 4, 2006

Last updated

Apr 19, 2011By 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

Sabir M Quraishi, M.D.NPI 1427082841

Title

Owner

Phone

(937) 587-5435

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Sabir M Quraishi, M.D.

  • Internal Medicine Physician
  • Peebles, OH
  • NPI 1427082841
  Medicare reassignment NPD Authorized official
• Cherry Hawkins, FNP-BC

  • Family Nurse Practitioner
  • Springboro, OH
  • NPI 1154633865
  Medicare reassignment NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1700816774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25800 STATE ROUTE 41",
            "address_2": "PO BOX 415",
            "city": "PEEBLES",
            "state": "OH",
            "postal_code": "456608953",
            "telephone_number": "937-587-5435",
            "fax_number": "937-587-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25800 STATE ROUTE 41",
            "city": "PEEBLES",
            "state": "OH",
            "postal_code": "456608953",
            "telephone_number": "937-587-5435",
            "fax_number": "937-587-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "QURAISHI",
        "authorized_official_first_name": "SABIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-587-5435",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Beth Shriver, LSW
• Lucinda Jean Leslie Singh
• Neva Marie Smalley, LPCC
• Sarah Smith Cook
• Melissa Lynn Sorenson
• Southern Ohio Sports Medicine and Physical Therapy
• Blake Spiller
• Jama Stephens, LPN
• Vanessa Lynn Stephenson
• Gail Ann Storer, HOME HEALTH AIDE

• Internal Medicine Physician in Peebles, OH
• Providers in Peebles, 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 Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.