DOMINIK GRZEGORZ SOKALSKI (NPI# 1104016278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104016278 |
| Entity Type | Individual |
| Full Name | DOMINIK GRZEGORZ SOKALSKI |
| Credential | M.D. |
| Practice Address |
1365 Poplar Dr Medford OR 97504-5207 |
| Practice Telephone | 5417732233 |
| Practice Fax Number | 5417737089 |
| Mailing Telephone | 5417734291 |
| Mailing Fax Number | 5417734291 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD153128 | OR | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
56254 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE LICENSE | DR.0056254 | 01 |
| OR | STATE LICENSE | MD153128 | 01 |
| OR | MEDICARE OR | R194430 | 01 |
| CO | MEDICARE CO | 478052ZL1P | 01 |
| OR | 500722930 | 05 |
| Street Address |
1365 POPLAR DR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205896115 | David I Dryland | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2006-03-24 |
| 1467971739 | David Dryland, PC | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2017-09-18 |
| 1225453467 | Milena Cavalcante | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2014-02-25 |
| 1164746756 | Rheumatology Clinic LLC | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2010-03-25 |
| 1679704241 | Christine Konya | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2009-07-30 |
| 1336320522 | Lawrence Levin Md Inc | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2007-11-16 |
| 1285649988 | David Chamberland Md Inc | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2006-07-30 |
| 1447293311 | David Lawrence Chamberland | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2006-06-14 |
| 1568430957 | Karen S Basin | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1205896115 | David I Dryland | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2006-03-24 |
| 1467971739 | David Dryland, PC | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2017-09-18 |
| 1821456187 | Advocare, LLC | Internal Medicine | 30 Jackson Rd, Suite D-2, Medford, NJ 08055-9283 | 2016-02-02 |
| 1225453467 | Milena Cavalcante | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2014-02-25 |
| 1164746756 | Rheumatology Clinic LLC | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2010-03-25 |
| 1679704241 | Christine Konya | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2009-07-30 |
| 1336320522 | Lawrence Levin Md Inc | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2007-11-16 |
| 1285649988 | David Chamberland Md Inc | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2006-07-30 |
| 1447293311 | David Lawrence Chamberland | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2006-06-14 |
| 1568430957 | Karen S Basin | Internal Medicine | 1365 Poplar Dr, Medford, OR 97504-5207 | 2006-03-10 |
| Find all providers in MEDFORD | ||||
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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.