DR. CLARENCE HAROLD SODERBERG SR. (NPI# 1043582562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043582562 |
| Entity Type | Individual |
| Full Name | DR. CLARENCE HAROLD SODERBERG SR. |
| Credential | MD. |
| Practice Address |
589 Love Lane East Greenwich RI 02818-4051 |
| Practice Telephone | 4018847313 |
| Mailing Telephone | 4018847313 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD03305 | RI | Allopathic & Osteopathic Physicians |
| Street Address |
589 LOVE LANE |
| City | EAST GREENWICH |
| State | RI |
| Zip Code | 02818-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875489 | Connor Michael Hagerty | Dentist | 61 Cedar Ave, #5, East Greenwich, RI 02818 | 2020-06-16 |
| 1467086777 | Kimberly Olson | Social Worker | 4372 Post Road, East Greenwich, RI 02818 | 2020-02-25 |
| 1154977106 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1000 Division Road, Suite 100, East Greenwich, RI 02818 | 2019-08-15 |
| 1184270464 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 5805 Post Road, Unit 1, East Greenwich, RI 02818 | 2019-08-13 |
| 1003390428 | Liana Marie Waybright | Dietitian, Registered | East Greenwich Specialty Clinic, 1454 South County Trail, East Greenwich, RI 02818 | 2018-09-21 |
| 1053805614 | Danielle Moreau | Physical Therapist | 5750 Post Rd Ste 2a, East Greenwich, RI 02818 | 2018-06-18 |
| 1508385345 | Rhode Island Limb Co Inc | Physical Therapist | 63 Cedar Ave Unit 12, East Greenwich, RI 02818 | 2017-09-13 |
| 1407202963 | Doris Major Howie | Registered Nurse | 4512 Post Rd., East Greenwich, RI 02818 | 2016-05-13 |
| 1851648760 | Christi L Saurette | Social Worker | 3285 South County Trail, Suite 2b, East Greenwich, RI 02818 | 2012-08-09 |
| 1811257934 | Elizabeth Decker | Internal Medicine | 1407 S County Trl Ste 410, East Greenwich, RI 02818 | 2012-05-23 |
| Find all providers in zip 02818 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871644997 | Klaus Friedrich Haas | Surgery | 105 Granite Dr, East Greenwich, RI 02818-5033 | 2007-01-15 |
| 1740222744 | Laurie Beth Reeder | Surgery | 1351 S County Trl, Suite 200b, East Greenwich, RI 02818-5079 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363479 | Jonathan Zakaria Rizk Hanna | Surgery | 20 Newman Ave Apt 3, Rumford, RI 02916-1960 | 2020-07-06 |
| 1881211738 | Wound Care Specialists of Ri, LLC | Surgery | 91 Point Judith Rd # 357, Narragansett, RI 02882-3468 | 2020-06-26 |
| 1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
| 1801389713 | Aparna Ashok | Surgery | 2 Dudley St Ste 174, Providence, RI 02905-3246 | 2018-06-14 |
| 1942647276 | Madeline Jones Cancian | Surgery | 450 Veterans Memorial Pkwy Bldg 14, East Providence, RI 02914-5300 | 2013-05-28 |
| 1477852713 | Michael Leh Lin | Surgery | 1524 Atwood Ave Ste 245, Johnston, RI 02919-3228 | 2011-03-25 |
| 1992015028 | Kenneth Emil Liffmann | Surgery | 189 Summit Dr, Cranston, RI 02920-3616 | 2010-10-07 |
| 1174845606 | Vahey M. Pahigian M.d., Ltd. | Surgery | 323 Angell Street, Providence, RI 02906-3293 | 2010-02-25 |
| 1477885424 | Remo Moomiaie | Surgery | 137 Doyle Ave, Providence, RI 02906-1609 | 2010-02-02 |
| 1962639690 | Rachel Erin Beard | Surgery | 2 Dudley St Ste 370, Providence, RI 02905-3248 | 2009-06-21 |
| Find all providers with the same taxonomy | ||||
| City | EAST GREENWICH |
| Zip Code | 02818 |
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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.