| Kimberly S. Umhoefer Do Inc | |
|
1729 Kinneys Ln Suite 201 Portsmouth OH 45662-3165 | |
| (740) 355-8930 | |
| (740) 354-2936 |
| Full Name | Kimberly S. Umhoefer Do Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1729 Kinneys Ln, Portsmouth, Ohio |
| Authorized Official Name and Position | Kimberly Sue Umhoefer (PHYSICIAN OWNER) |
| Authorized Official Contact | 7403558930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly S. Umhoefer Do Inc 1729 Kinneys Ln Suite 201 Portsmouth OH 45662-3165 Ph: (740) 355-8930 | Kimberly S. Umhoefer Do Inc 1729 Kinneys Ln Suite 201 Portsmouth OH 45662-3165 Ph: (740) 355-8930 |
| NPI Number | 1629180401 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 07/08/2016 |
| Medicare PECOS PAC ID | 2466428198 |
|---|---|
| Medicare Enrollment ID | O20100323000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629180401 | NPI | - | NPPES |
| 36278546300 | Other | OH | WORKERS COMP |
| P00174556 | Other | RAILROAD MEDICARE | |
| 362785463012 | Other | OH | MEDICAL MUTUAL |
| 000000337972 | Other | OH | BCBS |
| 2119326 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34-00-7109 (Ohio) | Primary |
| Provider Name | Kimberly Sue Umhoefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225140007 PECOS PAC ID: 7618943341 Enrollment ID: I20040907000016 |
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