| Kings Daughters Medical Center Portsmouth Medical Specialties | |
|
2001 Scioto Trl Ste 200 Portsmouth OH 45662-5122 | |
| (740) 353-6390 | |
| (740) 353-6290 |
| Full Name | Kings Daughters Medical Center Portsmouth Medical Specialties |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 Scioto Trl Ste 200, Portsmouth, Ohio |
| Authorized Official Name and Position | Sara Marks (CEO) |
| Authorized Official Contact | 6064084401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Daughters Medical Center Portsmouth Medical Specialties Po Box 1595 Ashland KY 41105-1595 Ph: (606) 408-6200 | Kings Daughters Medical Center Portsmouth Medical Specialties 2001 Scioto Trl Ste 200 Portsmouth OH 45662-5122 Ph: (740) 353-6390 |
| NPI Number | 1831302066 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831302066 | NPI | - | NPPES |
| 2255376 | Medicaid | OH | |
| 7100222880 | Medicaid | KY | |
| 7100222890 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Ohio) | Secondary |
| 207R00000X | Internal Medicine | (Ohio) | Primary |
| 363L00000X | Nurse Practitioner | (Ohio) | Secondary |
Shawnee Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-355-8686 Fax: 740-353-1662 | |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 5th St, Portsmouth, OH 45662 Phone: 740-354-6605 | |
Community Action Committee Of Pike County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 5th St, Portsmouth Family Health Center, Portsmouth, OH 45662 Phone: 740-354-6605 | |
Cardiac Examination, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8681 Fax: 740-353-7900 | |
John Ditraglia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 717 5th St, Portsmouth, OH 45662 Phone: 740-354-6605 Fax: 740-354-1565 | |
Kings Daughters Portsmouth Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1729 Kinneys Ln Ste 201, Portsmouth, OH 45662 Phone: 740-355-8930 Fax: 740-354-7900 | |
Shawnee Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-7702 Fax: 740-353-1662 |