Active NPI
Tia M. King, FNP
- Family Nurse Practitioner
- Portsmouth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 08025
- Practice address
- 1805 27TH St
Southern Ohio Medical Center Emergency Department
Portsmouth, OH 45662-2640 - Phone
- (740) 356-5000
- NPI assigned
- Apr 14, 2006
- Last updated
- Sep 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 08025 | OH | Primary |
Addresses
Primary practice location
1805 27TH St
Southern Ohio Medical Center Emergency Department
Portsmouth, OH 45662-2640
Mailing address
2645 Shawnee Rd
Portsmouth, OH 45662-2648
Phone (614) 352-9432
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: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.57 of 100
- Quality
- 58.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08025 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical, Inc. | Family | Current | Accepting new patients |
| Mobile Medical Inc | Current | Accepting new patients | |
| Epmg of Ohio Inc P a | Current | Accepting new patients | |
| Mobile Medical, Inc. | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Past | Accepting new patients | |
| Mobile Medical, Inc. | Past | Accepting new patients |
Locations
3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393
740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
8770 Ohio River Rd
Wheelersburg, OH 45694
Phone (740) 355-4120
Interoperability endpoints
- tia.king@somc.medicity.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Portsmouth, OH
- NPI 1841232196
-
dba OnHealthcare
- Geriatric Medicine (Family Medicine) Physician
- Perrysburg, OH
- NPI 1558682179
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
-
- Podiatrist
- Perrysburg, OH
- NPI 1003066747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1730143769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 SHAWNEE RD",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622648",
"telephone_number": "614-352-9432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 27TH ST",
"address_2": "SOUTHERN OHIO MEDICAL CENTER EMERGENCY DEPARTMENT",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622640",
"telephone_number": "740-356-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "TIA",
"middle_name": "M.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "08025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
- Amy L Kilburn, CNP
- Tiffany Ann Kiley, CRNA
- Kimberly S. Umhoefer DO Inc
- Britany King, CMS QMHS
- Scott King
- King's Daughters Medical Specialties, Inc. (Kings Daughters Medical Specialties - Behavioral Health)
- King's Daughters Medical Specialties, Inc. (Kings Daughters Medical Specialties Anesthesia Ohio)
- Kings Daughters Medical Specialties Inc (Kings Daughters Medical Specialties Urgent Care Services)
- Kings Daughters Medical Specialties Inc (Kings Daughters Medical Specialties - Emergency Care Servic)
- Kings Daughters Medical Specialties Inc., (Kings Daughters Medical Specialties Urology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.