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SOUTHERN OHIO SURGICAL ASSOCIATES INC. NPI 1528050945


NPI Information

NPI: 1528050945
Provider Name: SOUTHERN OHIO SURGICAL ASSOCIATES, INC.
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
1711 27TH ST
BRAUNLIN BLDG, SUITE 306
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 353-8661
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SOUTHERN OHIO SURGICAL ASSOCIATES, INC. is a surgery in Portsmouth, OH. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SOUTHERN OHIO SURGICAL ASSOCIATES, INC. NPI is 1528050945. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1711 27TH ST
BRAUNLIN BLDG, SUITE 306
PORTSMOUTH, OH
ZIP 45662-638
Phone: (740) 353-8661
Fax: (740) 354-3254

The provider's authorized official is Thomas L Khoury .
The authorized official title is President and has the following contact phone number (740) 353-8661.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 1/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery35-06-5158-KOHIONo
2363AS0400XPhysician AssistantSurgical50-00-1711OHIONo
3208600000XSurgery35-84596OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19285941MEDICARE ID-TYPE UNSPECIFIEDOHIO
265907073MEDICAIDKENTUCKY
30317875MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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