DR. ANDREW LEO SOCHACKI (NPI# 1003235391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003235391 |
Entity Type | Individual |
Full Name | DR. ANDREW LEO SOCHACKI |
Credential | M.D. |
Practice Address |
5800 Foremost Dr Se Ste 200 Grand Rapids MI 49546-7062 |
Mailing Address |
5800 Foremost Dr Se Ste 300 Grand Rapids MI 49546-7062 |
Practice Telephone | 6163891800 |
Enumeration Date | 2014-04-15 |
Last Update Date | 2020-07-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
4301501379 | MI | Allopathic & Osteopathic Physicians |
Street Address |
5800 FOREMOST DR SE STE 200 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49546-7062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568641074 | Frances Ying-nok Wong | Internal Medicine | 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546-7062 | 2007-10-31 |
1841720133 | Tanya A Rowerdink | Nurse Practitioner | 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546-7062 | 2017-06-19 |
1235681503 | Julia Marie Marchal | Nurse Practitioner | 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546-7062 | 2016-11-02 |
1942603790 | Megan Sawyer | Nurse Practitioner | 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546-7062 | 2014-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
Find all providers in zip 49546 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154585172 | Kenneth A Krajewski | Internal Medicine | 1534 Groton Rd Se, Grand Rapids, MI 49506-4754 | 2008-07-18 |
1568641074 | Frances Ying-nok Wong | Internal Medicine | 5800 Foremost Dr Se Ste 200, Grand Rapids, MI 49546-7062 | 2007-10-31 |
1790727360 | Anas Al-janadi | Internal Medicine | 145 Michigan St Ne Ste 5200, Grand Rapids, MI 49503-2565 | 2006-06-11 |
1639179286 | Thomas E Gribbin | Internal Medicine | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2005-07-26 |
1952720906 | Haritha Ganesh Reddy | Internal Medicine | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2014-04-07 |
1952677031 | Erin Lee Schwab | Internal Medicine | 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 | 2012-03-22 |
1003101429 | Erin Megan Pettijohn | Internal Medicine | 250 Cherry St Se Ste 2200, Grand Rapids, MI 49503-4608 | 2011-06-14 |
1174700256 | Eric C. Santos | Internal Medicine | 145 Michigan St Ne, Suite 3100, Grand Rapids, MI 49503-2562 | 2008-01-30 |
1972705838 | Sreenivasa Chandana | Internal Medicine | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2007-06-04 |
1194934802 | Latha Sree Polavaram | Internal Medicine | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2007-05-21 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49546 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.