| Ohio Valley Physicians Inc | |
|
251 W Palmetto St Florence SC 29501-4415 | |
| (843) 664-3939 | |
| Not Available |
| Full Name | Ohio Valley Physicians Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 251 W Palmetto St, Florence, South Carolina |
| Authorized Official Name and Position | Rachel Blankenship (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044291008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Valley Physicians Inc Po Box 390 Huntington WV 25708-0390 Ph: (304) 429-1088 | Ohio Valley Physicians Inc 251 W Palmetto St Florence SC 29501-4415 Ph: (843) 664-3939 |
| NPI Number | 1710418553 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 01/15/2024 |
| Medicare PECOS PAC ID | 8729032966 |
|---|---|
| Medicare Enrollment ID | O20170519002001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710418553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward W King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083646038 PECOS PAC ID: 9830135144 Enrollment ID: I20071002000069 |
| Provider Name | Suzanne M Blakeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053716167 PECOS PAC ID: 2668796780 Enrollment ID: I20150121000499 |
| Provider Name | Krista Poulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871971648 PECOS PAC ID: 5395059406 Enrollment ID: I20150803002777 |
| Provider Name | Stephen C Shy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598737991 PECOS PAC ID: 4789631987 Enrollment ID: I20170912002914 |
| Provider Name | Robert A Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538156518 PECOS PAC ID: 2365424405 Enrollment ID: I20180828001449 |
| Provider Name | David Grant Shy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326146978 PECOS PAC ID: 1254313091 Enrollment ID: I20190226002305 |
| Provider Name | Kayla S Bellamy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427617125 PECOS PAC ID: 4183950819 Enrollment ID: I20190801001944 |
| Provider Name | Helga Regina Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376183251 PECOS PAC ID: 4789014135 Enrollment ID: I20200427000252 |
| Provider Name | Debra Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275148140 PECOS PAC ID: 0749600245 Enrollment ID: I20201022002098 |
| Provider Name | Stephenie L Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093322703 PECOS PAC ID: 9537576509 Enrollment ID: I20210319000289 |
| Provider Name | Monica Denise Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720742158 PECOS PAC ID: 5294104881 Enrollment ID: I20221202001160 |
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