PHYSICIAN MANAGEMENT SERVICES OF SOUTHEAST OHIO, LLC
NPI 1104381920
Family Medicine in Carlisle, OH

Q: What is Physician Management Services Of Southeast Ohio, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 06, 2019

300 BUSINESS PKWY, CARLISLE, OH 45005(888) 829-8550 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2022, Apr 30, 2021, Feb 6, 2019 (3 updates tracked since 2019).

On this page

About Physician Management Services Of Southeast Ohio, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF SOUTHEAST OHIO, LLC (NPI 1104381920) is a healthcare organization registered as a family medicine in Carlisle, Ohio and active in the NPI registry since February 2019. The organization maintains a secondary practice location in Struthers and lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1104381920

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF SOUTHEAST OHIO, LLC

Location Address300 BUSINESS PKWYCarlisle, OH 45005-6331

Mailing Address3113 Lawton Rd Ste 250Orlando, FL 32803-3517

Phone(888) 829-8550

Organization SubpartYesParent: Vaxcare Corporation

Authorized OfficialBrett KenefickPresident · (888) 829-8550

Enumeration DateFebruary 6, 2019

Last NPPES UpdateApril 27, 20223 updates tracked since enumeration

NPPES CertifiedApril 26, 2022

✔ NPI 1104381920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

300 BUSINESS PKWY, Carlisle, OH 45005

Open in Google Maps ↗

Secondary Practice Location 1

Location 1624 Youngstown Poland RdStruthers, OH 44471-1106 · Phone (888) 829-8550

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 Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 3

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

TIFFANY NICOLE ISBELL NP

Nurse Practitioner (Gerontology)

300 BUSINESS PKWY
FRANKLIN, OH 45005

Warren County (937) 746-2813

JEWEL A STEVENS MD LLC

Family Medicine

300 BUSINESS PKWY
CARLISLE, OH 45005

Warren County (937) 746-2813

ANNE K NESTOR MD LLC

Family Medicine

300 BUSINESS PKWY
CARLISLE, OH 45005

Warren County (937) 746-2813

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 Physician Management Services Of Southeast Ohio, LLC's NPI number?

The NPI number for Physician Management Services Of Southeast Ohio, LLC is 1104381920. It was assigned to this organization in the NPPES registry on February 6, 2019.

Where is Physician Management Services Of Southeast Ohio, LLC located?

Physician Management Services Of Southeast Ohio, LLC is located at 300 Business Pkwy, Carlisle, OH 45005. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Southeast Ohio, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Physician Management Services Of Southeast Ohio, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Physician Management Services Of Southeast Ohio, LLC 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 Physician Management Services Of Southeast Ohio, LLC was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.