GARY SOHN (NPI# 1114073038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114073038 |
| Entity Type | Individual |
| Full Name | GARY SOHN |
| Practice Address |
318 W Main St Norwich CT 06360-5413 |
| Practice Telephone | 8608898785 |
| Practice Fax Number | 8608897474 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | OR4680 | 01 |
| CT | ANTHEM BLUE CROSS | 12DME0121CT01 | 01 |
| CT | BLUCARE FAMILY PLAN | 004015699-00 | 01 |
| Street Address |
318 W MAIN ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-5413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346422276 | Gary Sohn | Durable Medical Equipment & Medical Supplies | 318 W Main St, Norwich, CT 06360-5413 | 2007-12-03 |
| 1902952666 | Dawn Elizabeth Rosacker | Pharmacy Technician | 318 W Main St, Norwich, CT 06360-5413 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396210308 | Clancy James Purcell | Orthotic Fitter | 224 Beardsley Rd, Shelton, CT 06484-1844 | 2018-10-05 |
| 1558647396 | William Fletcher | Orthotic Fitter | 65 Stillwater Ave, Stamford, CT 06902-4917 | 2011-10-25 |
| 1477612760 | Gregory Michael Vanhoof | Orthotic Fitter | 12 Fawn Ridge Dr, Brookfield, CT 06804 | 2006-12-06 |
| 1972504124 | Comprehensive Prosthetic Services LLC | Orthotic Fitter | 21 Business Park Dr, Branford, CT 06405-2935 | 2005-08-09 |
| 1336398494 | Paulo R Borges | Orthotic Fitter | 56 Arbor St, Suite 212, Hartford, CT 06106-1222 | 2008-09-14 |
| 1518114669 | Carol Ann Ryall | Orthotic Fitter | 1313 Gold Star Hwy, Groton, CT 06340-2717 | 2008-08-20 |
| 1700064979 | Roberta Nole | Orthotic Fitter | 80 Turnpike Dr, Unit 1, Middlebury, CT 06762-1830 | 2008-02-09 |
| 1881888493 | Lucinda Beaty | Orthotic Fitter | 650 Highland Ave, Cheshire, CT 06410-2207 | 2007-08-28 |
| 1780807834 | John D Walker | Orthotic Fitter | 503 Main Street, Willimantic, CT 06226 | 2007-04-10 |
Please comment or provide details below to improve the information on GARY SOHN.
| 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.