Physician Management Services of Southeast Ohio, LLC
NPI 1104381920 · Family Medicine Physician · Carlisle, OH
Physician Management Services of Southeast Ohio, LLC is a Family Medicine Physician organization in Carlisle, OH (NPI 1104381920).
Provider details
- NPI number
- 1104381920
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vaxcare Corporation
- Organization subpart
- Yes
- Authorized official
- Brett Kenefick, President(888) 829-8550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 624 Youngstown Poland RdStruthers, OH 44471-1106Phone: (888) 829-8550
Registry dates
- Enumerated
- 2019-02-06
- Last updated
- 2022-04-27
- Certified
- 2022-04-26
Frequently asked questions
- What is Physician Management Services of Southeast Ohio, LLC's NPI number?
- Physician Management Services of Southeast Ohio, LLC's National Provider Identifier (NPI) is 1104381920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physician Management Services of Southeast Ohio, LLC?
- Physician Management Services of Southeast Ohio, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Physician Management Services of Southeast Ohio, LLC located?
- Physician Management Services of Southeast Ohio, LLC's practice location on file with NPPES is 300 Business Pkwy, Carlisle, OH 45005-6331.
- What is Physician Management Services of Southeast Ohio, LLC's phone number?
- The practice phone number listed in the NPPES registry for Physician Management Services of Southeast Ohio, LLC is (888) 829-8550.
- Who is the authorized official for Physician Management Services of Southeast Ohio, LLC?
- The authorized official listed on Physician Management Services of Southeast Ohio, LLC's NPPES record is Brett Kenefick, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physician Management Services of Southeast Ohio, LLC's NPI active?
- Yes — Physician Management Services of Southeast Ohio, LLC's NPI (1104381920) is active in the NPPES registry as of the last update on 2022-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.