NAWAR SODA (NPI# 1083812598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083812598 |
| Entity Type | Individual |
| Full Name | NAWAR SODA |
| Credential | MD |
| Practice Address |
234 Brenwood St Berea KY 40403-1637 |
| Mailing Address |
2405 Rossini Pl Lexington KY 40509-4533 |
| Practice Telephone | 8599850302 |
| Mailing Telephone | 8594668956 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 41992 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
234 BRENWOOD ST |
| City | BEREA |
| State | KY |
| Zip Code | 40403-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216235 | Darwin Patrick Whitaker | Physician Assistant | 234 Brenwood St, Berea, KY 40403-1637 | 2005-09-23 |
| 1093345977 | Adam Lee Deshong | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2020-01-20 |
| 1982144143 | Kristin Morgan | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2017-03-06 |
| 1790134948 | Charles King | Nurse Practitioner | 234 Brenwood St, Berea, KY 40403-1637 | 2016-06-08 |
| 1912054792 | Berea Urgent Care LLC | Clinic/Center | 234 Brenwood St, Berea, KY 40403-1637 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740317353 | University Primary Care Practices Inc | Family Medicine | 201 Front St Ste 101, Berea, OH 44017-1998 | 2007-02-28 |
| 1033280607 | Mary Margaret Miller | Family Medicine | 125 Clay Dr, Berea, KY 40403-1349 | 2006-11-13 |
| 1245339175 | Robert P Blankfield | Family Medicine | 201 Front St #101, Berea, OH 44017 | 2006-09-21 |
| 1457462103 | Leigh A Delair | Family Medicine | 2200 Menelaus Rd, Berea, KY 40403-9748 | 2006-08-31 |
| 1831131481 | Strauss Family Practice, LLC | Family Medicine | 402 Richmond Rd N, Suite B, Berea, KY 40403-1133 | 2006-06-11 |
| 1538115639 | Nicole Christine Troy | Family Medicine | 563 W Bagley Rd, 2nd Floor, Berea, OH 44017-1328 | 2006-05-26 |
| 1003861162 | Jessica Abney Pennington | Family Medicine | 2750 Battlefield Memorial Hwy, Berea, KY 40403-8332 | 2006-05-24 |
| 1346229507 | Maureen A. Flannery | Family Medicine | 122 Main St, Berea, KY 40403-1903 | 2006-01-15 |
| 1376521286 | Valerie Powers | Family Medicine | 1350 W Bagley Rd, Berea, OH 44017-2912 | 2006-01-03 |
| 1396745170 | Jerry C Tardio | Family Medicine | 853 W Bagley Rd, Berea, OH 44017-2903 | 2005-07-22 |
| Find all providers in BEREA | ||||
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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.