SOTOLONGO CLINIC, PA (NPI# 1679826945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679826945 |
| Entity Type | Organization |
| Organization Name | SOTOLONGO CLINIC, PA |
| Practice Address |
731 S Pear Orchard Rd Suite 7 Ridgeland MS 39157-4800 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 6012069101 |
| Mailing Telephone | 3104749809 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. ROSE M. SOTOLONGO (OWNER) |
| Authorized Official Telephone | 6012069101 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | SOTOLONGO CLINIC, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
731 S PEAR ORCHARD RD SUITE 7 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790779858 | Rose Marie Sotolongo | Podiatrist | 731 S Pear Orchard Rd, Suite 7, Ridgeland, MS 39157-4800 | 2005-09-06 |
| 1740411230 | River Oaks Management Company, LLC | Family Medicine | 731 S Pear Orchard Rd, Suite 15, Ridgeland, MS 39157-4800 | 2009-07-31 |
| 1922298728 | Ms Neuroscience Center | Neurological Surgery | 731 S Pear Orchard Rd, Suite 5, Ridgeland, MS 39157-4800 | 2007-07-27 |
| 1922029040 | River Oaks Management Company LLC | Internal Medicine | 731 S Pear Orchard Rd, Suite 16, Ridgeland, MS 39157-4800 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114373586 | Gentex Pharma | Non-Pharmacy Dispensing Site | 121 Marketridge Dr, Suite C, Ridgeland, MS 39157-6027 | 2016-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1285177543 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 7668b Airways Blvd, Southaven, MS 38671-5304 | 2016-11-18 |
| 1952783078 | Mom 2 Be, LLC | Non-Pharmacy Dispensing Site | 449 Wilkins Wise Rd, Columbus, MS 39705-1756 | 2015-06-25 |
| 1982176426 | Brian Shwer, Dpm | Non-Pharmacy Dispensing Site | 564 Goodman Rd E, Southaven, MS 38671-9526 | 2018-12-21 |
| 1790269439 | Pain Consultants of Alabama, LLC | Non-Pharmacy Dispensing Site | 4105 Hospital Road, Ste 112b, Pascagoula, MS 39581 | 2018-09-19 |
| 1316366503 | Bienville Orthopaedic Specialists LLC | Non-Pharmacy Dispensing Site | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2014-04-15 |
| 1295161404 | Mississippi Orthopaedic Institute | Non-Pharmacy Dispensing Site | 15190 Community Rd Ste 120, Gulfport, MS 39503-3484 | 2013-09-19 |
| 1578613188 | Urgent Medical Clinic Inc | Non-Pharmacy Dispensing Site | 176 Goodman Rd W, Southaven, MS 38671-9405 | 2007-01-12 |
| 1164433678 | Meridian Oncology Associates Pllc | Non-Pharmacy Dispensing Site | 1704 23rd Ave, 2nd Flr, Meridian, MS 39301-3103 | 2006-08-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOTOLONGO CLINIC, PA.
| 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.