MARK SOBOR, MD (NPI# 1508308750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508308750 |
| Entity Type | Organization |
| Organization Name | MARK SOBOR, MD |
| Practice Address |
13560 76th St Unit 2 South Haven MI 49090-9483 |
| Mailing Address |
3749 N Keeler Ave Chicago IL 60641-3022 |
| Practice Telephone | 2692063260 |
| Practice Fax Number | 2692169687 |
| Mailing Telephone | 7737251267 |
| Mailing Fax Number | 7737251267 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Authorized Official Name | BARBARA TOMASZEWSKA (OFFICE MANAGER) |
| Authorized Official Telephone | 7733086103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
4301102383 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSMI | 0800105 | 01 |
| Street Address |
13560 76TH ST UNIT 2 |
| City | SOUTH HAVEN |
| State | MI |
| Zip Code | 49090-9483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891888293 | Mark G Sobor | Family Medicine | 13560 76th St, Unit 2, South Haven, MI 49090-9483 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
| 1487022091 | Kevin E. Ferrell | Physician Assistant | 955 S. Bailey Avenue, South Haven, MI 49090 | 2015-09-14 |
| 1942638002 | Birdie Farley | Chore Provider | 26725 M-140 Hwy, South Haven, MI 49090 | 2013-10-28 |
| 1730514910 | Rebecca A. Bennett | Counselor | 1675 Phoenix Road, Suite 9, South Haven, MI 49090 | 2013-09-06 |
| 1902149818 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2013-03-28 |
| 1265629927 | Cecilia Liz Vives Vasquez | Physical Therapist | 23701 Red Arrow Hwy, Mattawan, MI 49090 | 2007-09-26 |
| 1518089788 | Donald Jam,es Buckley | Pharmacist | 955 S Bailey, South Haven, MI 49090 | 2007-04-06 |
| 1366568966 | Norman M Maly | Dentist | 05055 Blue Star Hwy, South Haven, MI 49090 | 2007-03-22 |
| 1639264062 | Deborah Sue Distefano | Pharmacy Technician | 512 Phoenix Street, South Haven, MI 49090 | 2006-10-03 |
| 1053357897 | Stephen Earl Tolen | Chiropractor | 325 Superior St., South Haven, MI 49090 | 2006-06-21 |
| Find all providers in zip 49090 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813650 | Metro Med Pain Management & Rehab Plc | Clinic/Center | 4520 Firestone St Ste A, Dearborn, MI 48126-4602 | 2019-10-22 |
| 1295382976 | Care Recovery Clinic Pllc | Clinic/Center | 13530 Michigan Ave Ste 301, Dearborn, MI 48126-3555 | 2019-08-19 |
| 1902459860 | Comprehensive Care Pain Management, P.C. | Clinic/Center | 9001 15 Mile Rd Ste C, Sterling Heights, MI 48312-3621 | 2019-07-19 |
| 1386296077 | Michigan Institute of Musculoskeletal Medicine Pllc | Clinic/Center | 26206 W 12 Mile Rd Ste 200, Southfield, MI 48034-8500 | 2019-07-12 |
| 1740832930 | Heights Pain Management & Rehab Plc | Clinic/Center | 30671 Stephenson Hwy Ste D, Madison Heights, MI 48071-1635 | 2019-07-09 |
| 1609340215 | Michigan Orthopedic Spine & Interventionalist Pllc | Clinic/Center | 17290 Stonebrook Dr, Northville, MI 48168-4324 | 2019-01-16 |
| 1992204341 | Jawad A Shah Md PC | Clinic/Center | 4400 S Saginaw St Ste 1370, Flint, MI 48507-2668 | 2018-02-12 |
| 1316316771 | Advanced Rehab and Pain Management PC | Clinic/Center | 1820 Oak Ave, Muskegon, MI 49442-2408 | 2015-09-16 |
| 1154717106 | Excellent Pain Consultants | Clinic/Center | 15565 Northland Dr W Ste 304, Southfield, MI 48075-5313 | 2015-04-07 |
| 1740683879 | Sydcon Pain Management, Pllc | Clinic/Center | 12434 E. Twelve Mile Rd., Warren, MI 48093 | 2014-10-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HAVEN |
| Zip Code | 49090 |
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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.