DR. SCOTT NEVINS SORENSEN


Address: 25 Michigan St Ne, Suite 2200, Grand Rapids, MI 49503-2515
Phone: 6163913245

DR. SCOTT NEVINS SORENSEN (NPI# 1588952295) 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) 1588952295
Entity Type Individual
Full Name DR. SCOTT NEVINS SORENSEN
Credential M.D.
Practice Address 25 Michigan St Ne
Suite 2200
Grand Rapids
MI 49503-2515
Mailing Address 5841 S Maryland Ave
Neuroradiology M/c 2026
Chicago
IL 60637-1447
Practice Telephone 6163913245
Practice Fax Number 6163913130
Mailing Telephone 7343557293
Enumeration Date 2011-07-14
Last Update Date 2016-07-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301099196 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
Y 2085D0003X Radiology
Specialization: Diagnostic Neuroimaging
336101630 IL Allopathic & Osteopathic Physicians

Other Providers SCOTT SORENSEN

NPI Name Taxonomy Address Enumeration
1235639378 Scott Sorensen Chore Provider 8644 Mayport Dr, Las Vegas, NV 89131-6704 2018-02-15
1710102199 Scott Reed Sorensen Counselor 351 W Center St, Centrum #225l, Cedar City, UT 84720-2470 2007-04-13
1487799821 Scott Michael Sorensen Psychologist 4380 Harlan St Ste 200, Wheat Ridge, CO 80033-5137 2007-02-21
1083999809 Scott Sorensen Hearing Instrument Specialist 2290 S Volusia Ave, Suite A, Orange City, FL 32763-7649 2011-10-12
1023100948 Scott William Sorensen Internal Medicine One Veterans Drive, Minneapolis Va Medical Center, Minneapolis, MN 55123 2006-09-28
1710920855 Scott H. Sorensen Physician Assistant Emile @ 42nd St, Omaha, NE 68198-4108 2006-06-14
1164497608 Scott Edward Sorensen Pharmacist 1965 Baldwin St, Jenison, MI 49428-8915 2006-02-20

Office Location

Street Address 25 MICHIGAN ST NE
SUITE 2200
City GRAND RAPIDS
State MI
Zip Code 49503-2515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639175342 Stephen Christopher Cook Pediatrics 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 2005-06-27
1407412539 Aneta Toma Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2019-05-14
1033673363 Kara Vanderkallen Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2019-01-31
1902391964 Carmen Kagha Family Medicine 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-06-22
1700394301 Daniel Jacob Elliott Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-17
1629585997 Dylan Lee Kosaski Student in an Organized Health Care Education/Training Program 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-08
1073020343 Rachel Pavona Pharmacy Technician 25 Michigan St Ne, Grand Rapids, MI 49503-2515 2018-01-08
1154842193 Asaf Harris Internal Medicine 25 Michigan St Ne, Suite 2100, Grand Rapids, MI 49503-2526 2017-06-29
1811439763 Danielle Susan Douglass Physician Assistant 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 2016-11-09
1457803751 Anina L Cicerone-carder Physician Assistant 25 Michigan St Ne, Suite 6100, Grand Rapids, MI 49503-2515 2016-11-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 2085D0003X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Neuroimaging

Taxonomy Definition

A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging.
Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124556055 Max Management Services LLC Radiology 15810 Thunder Ridge Ct, Clinton Twp, MI 48038-3635 2017-05-23
1811104102 Radiology Associates of Southwest Michigan, P.C. Radiology 4710 N Catamount Trl Ne, Ada, MI 49301-8653 2007-05-17
1376037143 Charles Messerly Radiology 50 N Perry St, Pontiac, MI 48342-2217 2018-06-15
1053805838 Jordan Murray Radiology 50 N Perry St, Pontiac, MI 48342-2217 2018-06-15
1902347529 Nextgen Diagnostics LLC Radiology 13530 Michigan Ave, Ste 101, Dearborn, MI 48126-3574 2017-03-15
1740445337 St John Hospital and Medical Center Radiology 46591 Romeo Plank Rd, Suite 137, Macomb, MI 48044-5742 2008-07-23
1467653170 Edward W. Sparrow Hospital Radiology 1215 E Michigan Ave, Lansing, MI 48912-1811 2007-05-30

Competitor

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City GRAND RAPIDS
Zip Code 49503

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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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