NPIMap

Individual provider Active NPI

Raymond Seth Sohn, D.O

  • Anesthesiology Physician
  • Sheboygan, WI
National Provider Identifier
1033430640
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
68489 Issued in WI
Practice address
2124 Kohler Memorial Dr Ste 110
Sheboygan, WI 53081-3174
Phone
(920) 204-6758
Fax
(888) 720-0495
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X DR.0055453 CO
Interventional Pain Medicine Physician 208VP0014X DR.0055453 CO
Anesthesiology Physician 207L00000X 68489 WI Primary

Addresses

Primary practice location

2124 Kohler Memorial Dr Ste 110
Sheboygan, WI 53081-3174

Mailing address

Dept CH 17057
Palatine, IL 60055-7057
Phone (920) 204-6758

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsohn192043@ewd.direct.hshs.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214003018 WI Practitioner - Pain ManagementPractitioner - Anesthesiology 8426274754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Spine and Pain SCGroup PAC ID 0345665469, 19 clinicians

Practice addresses (Care Compare)

1616 N Casaloma Dr
Suite 100
Appleton, WI 54913-8245
Phone (920) 204-6758

2124 Kohler Memorial Dr
Suite 110
Sheboygan, WI 53081-3169

2124 Kohler Memorial Dr
Suite 110
Sheboygan, WI 53081-3174
Phone (414) 455-1153

Hospital & facility affiliations

  • St Vincent Hospital Hospital, Green Bay, WI, CCN 520075
  • Aurora Baycare Medical Ctr Hospital, Green Bay, WI, CCN 520193
  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358

Merit-based Incentive Payment System (MIPS)

Final score
89.02 of 100Reported as group
Quality
82.89
Improvement activities
40
Cost
74.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68489WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management SC CurrentSince Aug 1, 2018 Accepting new patients
Wisconsin Spine and Pain SC Interventional Pain Medicine CurrentSince Oct 1, 2020 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Oct 1, 2020 Accepting new patients
Advanced Pain Management, SC CurrentSince Aug 1, 2018 Accepting new patients
Spine Solutions of Sheboygan LLC PastSince Nov 1, 2020 Accepting new patients
Fox Valley Surgery Center LLC PastSince May 1, 2023 Accepting new patients
Advanced Pain Treatment of Chicago SC Interventional Pain Medicine PastSince Oct 1, 2020 Accepting new patients
Madison Surgicenter LLC Past Accepting new patients

Locations

Dept CH 17057
Palatine, IL 60055

1616 N Casaloma Dr
Appleton, WI 54913
Phone (920) 268-1516

1616 N Casaloma Dr
#100
Appleton, WI 54913

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

2595 Development Dr
Green Bay, WI 54311
Phone (920) 338-2120

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246

1249 W Liebau Rd
Ste 200
Mequon, WI 53092
Phone (833) 821-7246

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

2124 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 452-7246

2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246

2124 Kohler Memorial Dr
Ste 100
Sheboygan, WI 53081
Phone (920) 452-7246

2607 N Grandview Blvd
Waukesha, WI 53188
Phone (262) 290-4540

2607 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 446-9981

N14W23800 Stone Ridge Dr
Ste 120
Waukesha, WI 53188

959 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 955-7246

1000 Gateway Ct
Ste 100
West Bend, WI 53095

1000 Gateway Ct
Ste 200
West Bend, WI 53095

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1033430640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 17057",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600557057",
            "telephone_number": "920-204-6758",
            "fax_number": "414-325-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 KOHLER MEMORIAL DR STE 110",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813174",
            "telephone_number": "920-204-6758",
            "fax_number": "888-720-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHN",
        "first_name": "RAYMOND",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CO",
            "license": "DR.0055453",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CO",
            "license": "DR.0055453",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "68489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsohn192043@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2124 Kohler Memorial Dr Ste 110",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530813174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.