| James R Otworth, DO | |
|
1805 27th St, Portsmouth, OH 45662-2686 | |
| (740) 356-8231 | |
| (710) 356-3686 |
| Full Name | James R Otworth |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 38 Years |
| Location | 1805 27th St, Portsmouth, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487615209 | NPI | - | NPPES |
| 08825018 | Medicaid | MS | |
| 0843985 | Medicaid | OH | |
| 64017759 | Medicaid | KY | |
| 140216 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 34004394 (Ohio) | Primary |
| 207L00000X | Anesthesiology | C4230 (Kentucky) | Secondary |
| 207L00000X | Anesthesiology | 21422 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sandusky Anesthesia Llc | 3274895271 | 109 |
| Somc Medical Care Foundation, Inc. | 9436061645 | 264 |
| Perioperative Services Of Mississippi, Llc | 8921365255 | 80 |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Sandusky Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
| Entity Name | Aultman Deuble Heart & Vascular Hospital, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306495718 PECOS PAC ID: 1850726126 Enrollment ID: O20200114002347 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Otworth, DO 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | James R Otworth, DO 1805 27th St, Portsmouth, OH 45662-2686 Ph: (740) 356-8231 |
Carl Wesley Mcgraw Jr., DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1729 Kinneys Ln Ste 202, Portsmouth, OH 45662 Phone: 740-353-8100 Fax: 740-353-8908 | |
Dr. Javaid A Malik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1711 27th St Ste 102, Portsmouth, OH 45662 Phone: 740-356-1709 Fax: 740-356-3027 | |
Thomas Robert Smith, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Jaime M Pua, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-5000 | |
Dr. Joseph W Lucero, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2001 Scioto Trl, King's Daughters Medical Center Ohio, Portsmouth, OH 45662 Phone: 740-991-4000 | |
Dr. Luis F Benitez Lopez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 | |
Dr. Andrew M. Sopchak, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8681 Fax: 740-353-7900 |