SOKPOLEAK SO


Address: 67 Sand Pit Rd, Danbury, CT 06810
Phone: 2037437264

SOKPOLEAK SO (NPI# 1467748111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 67 SAND PIT RD
City DANBURY
State CT
Zip Code 06810

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City DANBURY
Zip Code 06810

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Dataset Information

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.

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