SOKPOLEAK SO (NPI# 1467748111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467748111 |
Entity Type | Individual |
Full Name | SOKPOLEAK SO |
Credential | M.D. |
Practice Address |
67 Sand Pit Rd Danbury CT 06810 |
Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley MD 21031 |
Practice Telephone | 2037437264 |
Practice Fax Number | 2037923920 |
Mailing Telephone | 4103291071 |
Mailing Fax Number | 4103291054 |
Enumeration Date | 2011-06-21 |
Last Update Date | 2018-06-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 55481 | CT | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
55481 | CT | Allopathic & Osteopathic Physicians |
Street Address |
67 SAND PIT RD |
City | DANBURY |
State | CT |
Zip Code | 06810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740278472 | James T Mcmahon | Physician Assistant | 67 Sand Pit Rd, Suite 308, Danbury, CT 06810-4032 | 2005-10-06 |
1841830411 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2020-01-13 |
1275177016 | Stacey Gonzalez | Nurse Practitioner | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2019-11-05 |
1396120499 | Hvra of Danbury, LLC | Physiological Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2015-07-30 |
1992180350 | Northeast Radiology of Connecticut, LLC | Physiological Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2015-07-28 |
1932583630 | Hvra of Danbury, LLC | Radiology | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4084 | 2015-07-13 |
1225435423 | Kristen Debisceglie | Nurse Practitioner | 67 Sand Pit Rd, Suite 202, Danbury, CT 06810-4032 | 2014-12-03 |
1013152792 | Housatonic Valley Radiological Associates PC | Physiological Laboratory | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4032 | 2008-12-09 |
1952554636 | Shawn Brian Finnegan | Physician Assistant | 67 Sand Pit Rd, Danbury, CT 06810 | 2008-10-28 |
1730348442 | Daniel Chick Fombo | Nurse Practitioner | 67 Sand Pit Rd, Ste. 308, Danbury, CT 06810-4032 | 2008-06-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
Find all providers in zip 06810 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467588020 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 67 Sandpit Rd, Suite 308, Danbury, CT 06810-4032 | 2007-02-26 |
1477197671 | Spine Center of Ct, Pllc | Pain Medicine | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2019-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386256378 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 75 Kings Highway Cutoff Ste 3a, Fairfield, CT 06824-5340 | 2020-08-20 |
1770109910 | Rejuvenate Joint and Spine Pllc | Pain Medicine | 75 Tresser Blvd Unit 429, Stamford, CT 06901-3360 | 2020-06-23 |
1275804189 | Robinson Pa, LLC | Pain Medicine | 85 Barnes Rd Ste 201, Wallingford, CT 06492-1832 | 2012-01-24 |
1245472604 | Connecticut Regional Pain Specialists,llc | Pain Medicine | 2447 Whitney Ave Ste 2b, Hamden, CT 06518-3211 | 2009-04-01 |
1548322878 | Joe Lee | Pain Medicine | 80 Brewster Rd, Ct Spine and Pain, Bristol, CT 06010 | 2006-12-14 |
1235163536 | Eugene Lucier | Pain Medicine | 142 Hazard Ave, Enfield, CT 06082-4520 | 2006-07-10 |
1841257185 | Eric D Grahling | Pain Medicine | 440 New Britain Ave, Comprehensive Pain Management of Central Ct, LLC, Plainville, CT 06062 | 2006-04-28 |
1881674398 | Yasser Shaheen | Pain Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2006-01-19 |
1346706009 | Rnp Regenerative Medicine PC | Pain Medicine | 55 South Rd Ste 120, Farmington, CT 06032-2022 | 2019-02-18 |
1255745741 | Comprehensive Pain Clinic PC | Pain Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2014-06-12 |
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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.