DR. STEVEN M SOBOL (NPI# 1598722712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598722712 |
| Entity Type | Individual |
| Full Name | DR. STEVEN M SOBOL |
| Credential | M.D. |
| Practice Address |
101 W Mckinley Ave Enta Allergy, Head & Neck Institute Decatur IL 62526 |
| Mailing Address |
2300 N Edward St Gsbll Decatur IL 62526-4163 |
| Practice Telephone | 2178763682 |
| Practice Fax Number | 2178763345 |
| Mailing Telephone | 2178762857 |
| Mailing Fax Number | 2178762874 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
036071697 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245269521 | Steven Sobol | Otolaryngology | 34th & Civic Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104-4306 | 2006-06-30 |
| Street Address |
101 W MCKINLEY AVE ENTA ALLERGY, HEAD & NECK INSTITUTE |
| City | DECATUR |
| State | IL |
| Zip Code | 62526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104883735 | Stephen J Chadwick | Otolaryngology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62522 | 2006-04-27 |
| 1982123774 | Loretta Louise Hedges | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-13 |
| 1831617224 | Hannah Suzanne Gray | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-09-06 |
| 1194247239 | Alyssa Dale Fitzgerald | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2017-07-11 |
| 1932657038 | Ashley Patel | Physician Assistant | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2016-09-17 |
| 1922410851 | Therese Kistenfeger | Audiologist | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2014-05-27 |
| 1184875189 | Associated Otolaryngologists of Decatur | Hearing Aid Equipment | 101 W Mckinley Ave, 101w Mckinley Ave, Decatur, IL 62526-3286 | 2008-10-08 |
| 1952570947 | James Klemens | Audiologist-Hearing Aid Fitter | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2008-02-25 |
| 1568646842 | Jeffrey Michael Ulis | Otolaryngology | 101 W Mckinley Ave, Decatur, IL 62526-3286 | 2007-12-22 |
| 1043278013 | Bethany T Gibson | Allergy & Immunology | 101 W Mckinley Ave, Enta Allergy, Head & Neck Institute, Decatur, IL 62526 | 2006-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538276332 | Fred Mcconnel | Otolaryngology | 1670 Clairmont Rd, Surgical Service 112, Decatur, GA 30033-4004 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558646745 | Peter Anthony Brusca | Otolaryngology | 1310 N Ritchie Ct, 29b, Chicago, IL 60610-2168 | 2011-10-19 |
| 1942310081 | Parkview Ear, Nose & Throat Clinic, S.c. | Otolaryngology | 112 Park Ridge Ln, Pekin, IL 61554-3900 | 2006-08-30 |
| 1295707578 | James Curtis Hertenstein | Otolaryngology | 8600 N State Rt 91, Ste 300, Peoria, IL 61615 | 2006-02-02 |
| 1720068695 | Fazlur R. Zahurullah | Otolaryngology | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2006-01-18 |
| 1982609103 | Gordon J Siegel | Otolaryngology | 3 E Huron St, Fl 1, Chicago, IL 60611-2887 | 2005-06-15 |
| 1467816918 | Smart Sinus and Allergy Florida LLC | Otolaryngology | 1100 E Woodfield Rd, Suite 140, Schaumburg, IL 60173-5116 | 2016-04-11 |
| 1962880419 | Richard Kao | Otolaryngology | 1611 W Harrison St, Chicago, IL 60612-4861 | 2015-05-15 |
| 1194163139 | Finn R. Amble, M.d. F.a.c.s., S.c | Otolaryngology | 1505 Eastland Dr, Suite 220, Bloomington, IL 61701-3534 | 2013-06-12 |
| 1861731689 | Hosseinali Jafari | Otolaryngology | 301 N 8th St, Springfield, IL 62701-1041 | 2013-02-14 |
| 1467601583 | Muthuswamy Dhiwakar | Otolaryngology | 301 N 8th St, Springfield, IL 62701-1041 | 2008-09-12 |
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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.