Timothy B Sorg (NPI# 1467441873, PAC ID# 0547233488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1467441873 |
| PAC ID by PECOS | 0547233488 |
| Professional Enrollment ID | I20040818000354 |
| Full Name | Timothy B Sorg |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Address |
707 S Edwin C Moses Blvd Dayton OH 45417-3462 |
| Phone Number | 5025967358 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | FAMILY MEDICINE, INTERNAL MEDICINE |
| Group Practice PAC ID | 3678602802 |
| Number of Group Practice Members | 150 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 | 5025967358 | KND DEVELOPMENT 59 LLC |
| 725 University Blvd, Dayton, OH 45435-0001 | 9372457100 | WRIGHT STATE PHYSICIANS INC |
| Organization Legal Name | KND DEVELOPMENT 59 LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan Chen | Cardiovascular Disease (cardiology) | Knd Development 59 LLC | 4555 S Manhattan Ave, Tampa, FL 33611-2305 |
| Aleksandar A Radovic | Emergency Medicine | Knd Development 59 LLC | 6130 N Sheridan Rd, Chicago, IL 60660-2830 |
| Yvonne A Alanes | Internal Medicine | Knd Development 59 LLC | 845 N Lark Ellen Ave, West Covina, CA 91791-1069 |
| Daniel J Ries | General Practice | Knd Development 59 LLC | 1901 College Ave, Santa Ana, CA 92706-2334 |
| John B Steele | Anesthesiology | Knd Development 59 LLC | 205 Hollow Tree Ln, Houston, TX 77090-2801 |
| Victor E Oliva Gutierrez | Internal Medicine | Knd Development 59 LLC | 700 High St Ne, Albuquerque, NM 87102-2565 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Jazbeen Mahmood | Family Medicine | Knd Development 59 LLC | 3030 6th S St, Saint Petersburg, FL 33705-3720 |
| Ali H Bawamia | Internal Medicine | Knd Development 59 LLC | 2544 W Montrose Ave, Chicago, IL 60618-1537 |
| Shayna M Tisdall | Physician Assistant | Knd Development 59 LLC | 700 Potomac St, Fl 2, Aurora, CO 80011-6846 |
| Street Address |
707 S EDWIN C MOSES BLVD |
| City | DAYTON |
| State | OH |
| Zip | 45417-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenrick Sylvester Richardson | Internal Medicine | Kandg Dedicated Long-term Care Associates LLC | 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 |
| Paul Evens Gregoire Charles | Internal Medicine | Kandg Dedicated Long-term Care Associates LLC | 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 |
| Uchendu Azodo | Diagnostic Radiology | Rapid Radiology Inc | 707 S Edwin C Moses Blvd, Dayton, OH 45417-3462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas L Retzios | Podiatry | 601 S Edwin C Moses Blvd, Suite A, Dayton, OH 45417-3124 | |
| Wayne R Anable | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Ellen W Ballerene | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Stephanie E Ackner | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Kandi K Brelsford | Clinical Social Worker | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Bertilia M Toca | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Toni R Peters | Nurse Practitioner | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Fl 1, Dayton, OH 45417-3424 |
| Luis A Tellez | Family Practice | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 |
| Sehba N Siddiqi | Psychiatry | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 |
| Katherine E L Allen | Nurse Practitioner | Samaritan Behavioral Health, Inc. | 601 S Edwin C Moses Blvd, 4th Floor Nw Bldg, Dayton, OH 45417-3424 |
| Find all physicians in zip 45417 | |||
| City | DAYTON |
| Zip Code | 45417 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | DAYTON + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Timothy B Sorg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.