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SOUTHERN OHIO RECOVERY GROUP, INC
NPI 1043739196
Family Medicine - Addiction Medicine in Blue Ash, OH

Active since September 10, 2017
9403 KENWOOD RD, BLUE ASH, OH 45242(513) 543-6600 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Feb 24, 2018 (2 updates tracked since 2018).

About Southern Ohio Recovery Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN OHIO RECOVERY GROUP, INC (NPI 1043739196) is a healthcare organization registered as an addiction medicine in Blue Ash, Ohio and active in the NPI registry since September 2017. The organization maintains 2 additional practice locations and lists Rachele Smith, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1043739196
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameSOUTHERN OHIO RECOVERY GROUP, INC
Location Address9403 KENWOOD RDBlue Ash, OH 45242-6895
Mailing Address9403 Kenwood RdBlue Ash, OH 45242-6895 · (513) 543-6600
Phone(513) 543-6600
Organization SubpartNo
Authorized OfficialRachele SmithPractice Manager · (513) 377-9374
Enumeration DateSeptember 10, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1043739196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
9403 KENWOOD RD, Blue Ash, OH 45242
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11592 Goodman AveCincinnati, OH 45224-1005 · Phone (513) 522-7246
Location 2950 E Alex Bell Rd # LlCenterville, OH 45459-2721 · Phone (937) 291-2300

Other Identifiers 1

Medicaid31094333OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY K MOSKO MD
Family Medicine
9403 KENWOOD RD, SUITE C208
BLUE ASH, OH 45242
Hamilton County (513) 891-5532
GARY THOMAS RATLIFF LISW, LICDC III
Social Worker (Clinical)
9403 KENWOOD RD
BLUE ASH, OH 45242
Hamilton County (513) 280-1523
KENDRA R NICKELL
Counselor (Addiction (Substance Use Disorder))
9403 KENWOOD RD
BLUE ASH, OH 45242
Hamilton County (513) 543-6600
DR. LINDA DEAN RHYNE PH.D.
Psychologist (Clinical)
9403 KENWOOD RD, SUITE B110
CINCINNATI, OH 45242
Hamilton County (513) 794-9661
DR. SUZANNE F MATUNIS MD
Family Medicine
9403 KENWOOD RD, SUITE C208
CINCINNATI, OH 45242
Hamilton County (513) 891-5532
SUSAN ANNE CONRAD OT
Occupational Therapist
9403 KENWOOD RD, SUITE A120
CINCINNATI, OH 45242
Hamilton County (513) 791-5766
SHANA GADOMSKI
Case Manager/Care Coordinator
9403 KENWOOD RD
BLUE ASH, OH 45242
Hamilton County (513) 543-6600
DR. RANDOLPH L PRESHAW PHD
Psychologist (Clinical)
9403 KENWOOD RD, STE B209
CINCINNATI, OH 45242
Hamilton County (513) 793-7005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Ohio Recovery Group, Inc's NPI number?

The NPI number for Southern Ohio Recovery Group, Inc is 1043739196. It was assigned to this organization in the NPPES registry on September 10, 2017.

Where is Southern Ohio Recovery Group, Inc located?

Southern Ohio Recovery Group, Inc is located at 9403 Kenwood Rd, Blue Ash, OH 45242. The listed phone number is (513) 543-6600.

What is Southern Ohio Recovery Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

What insurance does Southern Ohio Recovery Group, Inc accept?

Health plans from CareSource list Southern Ohio Recovery Group, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Ohio Recovery Group, Inc was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.