Southeastern Ohio Ambulatory Physicians LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

35067200 Issued in OH

Legal business name

SOUTHEASTERN OHIO AMBULATORY PHYSICIANS LLC

Doing business as

Valley Medcare

Practice address

809 Farson Ave Unit 101
Belpre, OH 45714-1067

Phone

(740) 423-9862

Fax

(740) 423-9864

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By 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

Dr. Kurt J Palazzo

Title

President

Phone

(740) 423-9862

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Valley Medcare Doing business as

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1790955789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 FARSON AVE UNIT 101",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141067",
            "telephone_number": "740-423-9862",
            "fax_number": "740-423-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 FARSON AVE UNIT 101",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141067",
            "telephone_number": "740-423-9862",
            "fax_number": "740-423-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN OHIO AMBULATORY PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "PALAZZO",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-423-9862",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": "35067200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "SOSP04251",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2224168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Medcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Smarr
• Avery Kathryn Smith
• Chase Smith, DDS
• Kimberly A Smith, DPT
• Michelle Dawn Smith
• Savanna Sparks, DO
• Jessica Leigh Spears, FNP-C
• Tiffany Spitzer, LISW
• Madisson Renae Sprouse, MSW-LISW
• Leandrea A Squires

• Urgent Care Clinic/Center in Belpre, OH
• Providers in Belpre, OH by specialty
• Urgent Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.