Individual provider Active NPI

Sophia Vanood, MD

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1013141902
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46909 Issued in AZ
Practice address
635 SW 4TH Ave
Family Medicine
Gainesville, FL 32601
Phone
(352) 273-5159
NPI assigned
May 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46909 AZ Primary
Family Medicine Physician 207Q00000X ME112557 FL

Addresses

Primary practice location

635 SW 4TH Ave
Family Medicine
Gainesville, FL 32601

Mailing address

746 S Beck Ave
Tempe, AZ 85281-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009000032 AZ Practitioner - Family Practice 1951535863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46909AZMDFamily Medicine Physician
ME112557FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Arizona PA CurrentSince Nov 1, 2017 Accepting new patients

Locations

1110 E Route 66
Ste 100
Flagstaff, AZ 86001
Phone (928) 527-1920

1818 E Sky Harbor Cir N
Ste 150
Phoenix, AZ 85034
Phone (602) 244-9500

7119 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 881-0050

4600 S Park Ave
Ste 6
Tucson, AZ 85714
Phone (520) 889-3358

2005 W Ruthrauff Rd
Ste 111
Tucson, AZ 85705
Phone (520) 293-7250

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1013141902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 S BECK AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 SW 4TH AVE",
            "address_2": "FAMILY MEDICINE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32601",
            "telephone_number": "352-273-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANOOD",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "46909",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME112557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.