DR. FREDDY R SOSA (NPI# 1003856410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003856410 |
| Entity Type | Individual |
| Full Name | DR. FREDDY R SOSA |
| Credential | M.D. |
| Practice Address |
22250 Providence Dr Suite 703 Southfield MI 48075-4825 |
| Practice Telephone | 2485691770 |
| Practice Fax Number | 2484432439 |
| Mailing Telephone | 2485691770 |
| Mailing Fax Number | 2484432439 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
4301029937 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE | 0638265 | 01 |
| MI | 1051407 | 05 | |
| BLUE CARE NETWORK | 0638265 | 01 | |
| MI | 104308845 | 05 | |
| BCBS | 110638265 | 01 | |
| MI | BCBSM/BCN | 110Q262840 | 01 |
| MI | CIGNA | 2437498 | 01 |
| MI | HEALTH PLUS PPO | 1S0638265 | 01 |
| MI | AETNA | 5133233 | 01 |
| MI | HAP | B45138 | 01 |
| Street Address |
22250 PROVIDENCE DR SUITE 703 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981071 | Anthony Edward Boutt | Obstetrics & Gynecology | 22250 Providence Dr, 408, Southfield, MI 48075-4825 | 2005-06-02 |
| 1871110015 | Abbas Chehab | Internal Medicine | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-07-04 |
| 1013531854 | Anicia Mirchandani | Radiology | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-06-06 |
| 1285258442 | Kidist Tamirat Arficho | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-06-03 |
| 1386268035 | Denas Andrijauskis | Surgery | 22250 Providence Dr, Southfield, MI 48075-4825 | 2020-05-28 |
| 1669030748 | Cyrus Garmo | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Southfield, MI 48075-4825 | 2019-06-03 |
| 1922661297 | Ammar Hassen Alsalahi | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr, Suite #601, Southfield, MI 48075-4814 | 2019-04-22 |
| 1265963797 | Cameron Whitler | Internal Medicine | 22250 Providence Dr, Suite 705, Southfield, MI 48075-4818 | 2017-03-26 |
| 1144671082 | Jessica Anne Hudson | Family Medicine | 22250 Providence Dr, Ste. 500, Southfield, MI 48075-4825 | 2016-06-22 |
| 1689024960 | Yessar Takruri | Internal Medicine | 22250 Providence Dr, Southfield, MI 48075-4825 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750813234 | Iana Gueorguieva | Internal Medicine | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2017-04-03 |
| 1285927921 | Ahmad Aburashed Md PC | Internal Medicine | 27209 Lahser Rd, Suite 124, Southfield, MI 48034-8402 | 2011-05-26 |
| 1881996197 | Gastrointestinal and Liver Disorders Specialists Pllc | Internal Medicine | 27200 Lahser Rd, Suite 100, Southfield, MI 48034-2137 | 2010-11-19 |
| 1306075551 | Phoenix Medical Group, P.C. | Internal Medicine | 29201 Telegraph Rd, 450, Southfield, MI 48034-1331 | 2009-07-09 |
| 1396923603 | Mark S Devore, Md PC | Internal Medicine | 22250 Providence Dr, 703, Southfield, MI 48075-4825 | 2008-02-08 |
| 1720199938 | Sami Akkary | Internal Medicine | 27209 Lahser Rd, Suite 128, Southfield, MI 48034-8401 | 2006-08-31 |
| 1326151960 | North Woodward Capsule Imaging, LLC | Internal Medicine | 26771 W 12 Mile Rd, Ste 106, Southfield, MI 48034-1539 | 2006-08-17 |
| 1245246354 | Anthony Dwayne Williams | Internal Medicine | 23077 Greenfield Rd, Ste 231, Southfield, MI 48075-3709 | 2006-07-31 |
| 1609880236 | Manuel Sklar | Internal Medicine | 28411 Northwestern Hwy, Suite 1050, Southfield, MI 48034-5544 | 2006-07-28 |
| 1578521217 | Mark Devore | Internal Medicine | 22250 Providence Dr, 703, Southfield, MI 48075-6214 | 2006-05-03 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on DR. FREDDY R SOSA.
| 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.