Southern Ohio Surgical Associates, Inc.

LBN: Southern Ohio Surgical Associates, Inc.
Southern Ohio Surgical Associates, Inc. is an health care organization with primary practice located at 1711 27Th St Braunlin Bldg, Suite 306, Portsmouth OH 45662-2638. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Southern Ohio Surgical Associates, Inc. can be contacted via phone (740) 353-8661, or through Khoury, Thomas L via phone (740) 353-8661.

Contact Information

Primary practice address
1711 27Th St Braunlin Bldg, Suite 306 Portsmouth OH 45662-2638
Phone: (740) 353-8661
Fax: (740) 354-3254
Website:
Map and Directions
Authorized official contact:
Name: Khoury, Thomas L Doctor of Medicine (MD)
Phone: (740) 353-8661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-06-5158-K Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-84596 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-00-1711 Ohio

Profile Details

NPI number 1528050945
LBN Legal business name Southern Ohio Surgical Associates, Inc.
DBA Doing business as
Authorized official Khoury, Thomas L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2005
Last updated Jan 27th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528050945 NPPES
Ohio MEDICAID 0317875
Ohio MEDICAID 65907073

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