Shane M Sopp, Md Pc in Syracuse - Gynecology
Shane M Sopp, Md Pc - NPI 1952397705
Shane M Sopp, Md Pc is a Gynecology in Syracuse, New York. Shane M Sopp, Md Pc practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Shane M Sopp, Md Pc is 1952397705. The last update date is 2008-02-07.
Shane M Sopp, Md Pc's current location address is 4900 Broad Rd, Syracuse, New York. You can contact this provider via phone number 3154925005 and fax number 3154925324. The mailing address for Shane M Sopp, Md Pc is 4900 Broad Rd, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shane M Sopp, Md Pc |
|---|---|
| Address | 4900 Broad Rd, Syracuse, New York |
| Phone Number | 3154925005 |
| Fax Number | 3154925324 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Sopp M Shane |
| Credentials | MD |
| Telephone Number | 3154925005 |
NPI Number Detail
| NPI Number | 1952397705 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2008-02-07 |
Provider Mailing Address Detail
| Address | 4900 Broad Rd |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132152265 |
| Phone Number | 3154925005 |
| Fax Number | 3154925324 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1992896 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Shane M Sopp, Md Pc by the Centers for Medicare & Medicaid Services?
The Shane M Sopp, Md Pc has been assigned the NPI (National Provider Identifier) 1952397705 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shane M Sopp, Md Pc's facilities are situated?
The facilities of Shane M Sopp, Md Pc are physically located at the following address: 4900 Broad Rd, Syracuse, NY, 132152265.
What is Shane M Sopp, Md Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shane M Sopp, Md Pc is Gynecology, and the corresponding taxonomy classification code for this specialized field is 207Vg0400X.
On what date was the 1952397705 assigned to Shane M Sopp, Md Pc?
The Shane M Sopp, Md Pc was issued its 1952397705 on 2005-09-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shane M Sopp, Md Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shane M Sopp, Md Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-07.
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