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SOUTHEASTERN OHIO PHYSICIANS INC. NPI 1477635480


NPI Information

NPI: 1477635480
Provider Name: SOUTHEASTERN OHIO PHYSICIANS, INC.
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 36D0332988

Address:
100 CLARK CT
CAMBRIDGE, OH
ZIP 43725
Phone: (740) 432-5685
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SOUTHEASTERN OHIO PHYSICIANS, INC. is a surgery in Cambridge, 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. SOUTHEASTERN OHIO PHYSICIANS, INC. NPI is 1477635480. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 CLARK CT
CAMBRIDGE, OH
ZIP 43725-395
Phone: (740) 432-5685
Fax: (740) 432-3812

The provider's authorized official is Debra C Neff .
The authorized official title is Office Manager and has the following contact phone number (740) 432-5685.

The CLIA number assigned to this NPI record is 36D0332988 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/21/2022.


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
1208600000XSurgeryOHIOYes

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
10440017MEDICAIDOHIO

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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