Kayode E Sotonwa, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME90545 Issued in FL

Practice address

300 W Veterans Blvd
Big Spring, TX 79720-5566

Phone

(432) 213-2113

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Jude Medical Clinic LLC

  • Medical Specialty Clinic/Center
  • Largo, FL
  • NPI 1821270380
  NPD (past) Authorized official
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  NPD (past)
• Vicksburg Clinic LLC

  • Family Medicine Physician
  • Vicksburg, MS
  • NPI 1790711158
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1023091220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5534",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337585534",
            "telephone_number": "727-288-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W VETERANS BLVD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797205566",
            "telephone_number": "432-213-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTONWA",
        "first_name": "KAYODE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME90545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simply Good Nutrition LLC (Jaclynn Allen RD)
• Jason T Sims, P.T.
• Shaunte Yvette Smith, LCSW, CCM
• SMMC Medical Group (SMMC Gregg Street Clinic)
• Ysabel Marie Soliz, OD
• South Plains Physicians Associates LTD
• South Plains Rural Health Services, Inc. (Howard County Community Health Center)
• Guido G Spangher, M.D.
• Patricia L. Stahlbaum, P.A.
• Keelee Brooke Stanislaus, FNP

• Specialist in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.