John R Radford, MD | |
1611 27th St Ste 101, Portsmouth, OH 45662-6932 | |
(740) 356-7337 | |
(740) 356-6304 |
Full Name | John R Radford |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1611 27th St Ste 101, Portsmouth, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508884503 | NPI | - | NPPES |
0814631 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.060251 (Ohio) | Primary |
Entity Name | Somc Medical Care Foundation, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Mailing Address | Practice Location Address |
---|---|
John R Radford, MD 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | John R Radford, MD 1611 27th St Ste 101, Portsmouth, OH 45662-6932 Ph: (740) 356-7337 |
Dr. Ted Justin Stidham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1611 27th St Ste 101, Portsmouth, OH 45662 Phone: 740-356-7337 Fax: 740-356-6304 | |
Mr. Rick David Murphy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1405 11th St, Portsmouth, OH 45662 Phone: 740-354-7718 Fax: 740-353-6888 | |
John Francis Ditraglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 717 5th St, Portsmouth, OH 45662 Phone: 740-354-6605 Fax: 740-354-1565 | |
Mikell N Rase, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1611 27th St Ste 101, Portsmouth, OH 45662 Phone: 740-356-7337 Fax: 740-356-6304 | |
Alisha M. Iokia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1611 27th St Ste 101, Portsmouth, OH 45662 Phone: 740-356-7337 Fax: 740-356-6304 | |
Dr. Rebecca Joan Schoettle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1735 27th St, Suite 201, Portsmouth, OH 45662 Phone: 740-353-6500 Fax: 740-354-5389 |