DR. JOHN MILTON SODERBERG (NPI# 1386810588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386810588 |
| Entity Type | Individual |
| Full Name | DR. JOHN MILTON SODERBERG |
| Credential | M.D. |
| Practice Address |
7560 Carpenter Fire Station Rd Ste 204 Cary NC 27519-9637 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 9194394206 |
| Practice Fax Number | 9194399375 |
| Mailing Telephone | 9206639146 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101261724 | VA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 2008-01108 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 Oak Ln, South Boston, VA 245921633 | 4345490383 | 4345490384 |
| 7560 Carpenter Fire Station Rd Ste 204, Cary, NC 275199637 | 9194394206 | 9194399375 |
| Street Address |
7560 CARPENTER FIRE STATION RD STE 204 |
| City | CARY |
| State | NC |
| Zip Code | 27519-9637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478918 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 150 Wellesley Trade Ln, Cary, NC 27519 | 2020-08-18 |
| 1548878549 | Clara Dermatology | Dermatology | 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 | 2020-07-16 |
| 1366084188 | Monarch | Community/Behavioral Health | 740 Magalloway Drive, Cary, NC 27519 | 2019-10-14 |
| 1568023190 | Bay Imaging Consultants Medical Group Inc | Radiology | 1226 Brickfield Dr., Cary, NC 27519 | 2019-06-25 |
| 1861974131 | Tasha Ann Cadet | Marriage & Family Therapist | 235 Michigan Ave, Cary, NC 27519 | 2018-09-04 |
| 1295217628 | Stacey Janette Wilson | Marriage & Family Therapist | 235 Michigan Avenue, Cary, NC 27519 | 2018-09-01 |
| 1275029720 | Melissa Holt | Nurse Practitioner | 212 Towne Village Drive, Cary, NC 27519 | 2018-07-09 |
| 1912432162 | Margaret Creed Thompson | Behavioral Analyst | 210 Tals Rock Way, Suite 3, Cary, NC 27519 | 2017-04-25 |
| 1154799088 | Ashley Hudson | Nurse Practitioner | 7129 O'kelly Chapel Rd, Cary West, Cary, NC 27519 | 2015-09-09 |
| 1639557200 | Aseem Kaul | General Practice | 101 Maynard Crossing Court, Chapel Hill, NC 27519 | 2015-05-14 |
| Find all providers in zip 27519 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878549 | Clara Dermatology | Dermatology | 7250 O'kelly Chapel Road, Suite 100, Cary, NC 27519 | 2020-07-16 |
| 1508395468 | Preston Dermatology & Skin Surgery Center Pa | Dermatology | 1010 High House Rd Ste 202, Cary, NC 27513-3576 | 2017-06-05 |
| 1386901684 | Amy Lenfestey Gagnon | Dermatology | 110 Preston Executive Dr Ste 108, Cary, NC 27513-8447 | 2012-04-12 |
| 1962624478 | Craig Burkhart | Dermatology | 135 Parkway Office Ct Ste 201, Cary, NC 27518-7425 | 2007-05-03 |
| 1982600789 | Robert Earl Clark | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2005-06-27 |
| 1962713867 | Sheel Desai Solomon | Dermatology | 1010 High House Rd, 202, Cary, NC 27513-3576 | 2010-06-24 |
| 1427370352 | Adam Ingraffea | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2010-02-19 |
| 1154302610 | Timothy Corcoran Flynn | Dermatology | 200 Wellesley Trade Ln, Cary, NC 27519-5576 | 2005-11-10 |
| 1730175365 | Robert B Johnson | Dermatology | 101 Sw Cary Pkwy, Suite 210, Cary, NC 27511-5562 | 2005-09-20 |
| 1528053428 | Heidi Mangelsdorf | Dermatology | 101 Sw Cary Pkwy, Suite 210, Cary, NC 27511-5562 | 2005-09-16 |
| Find all providers in CARY | ||||
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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.