Charles W Sorenson, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

1641971205 Issued in UT

Practice address

324 10TH Ave Ste 178
SLC, UT 84103-2885

Phone

(801) 408-2500

Fax

(801) 408-1410

NPI assigned

Aug 7, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Providence Health & Services - Washington

  • Family Medicine Physician
  • Walla Walla, WA
  • NPI 1922259738
  NPD (past)
• Providence Health & Services Mt

  • Family Medicine Physician
  • Missoula, MT
  • NPI 1215222617
  NPD (past)
• Providence Health & Services Washington

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1174744304
  NPD (past)
• Providence Health & Services Washington

  • Long Term Care Pharmacy
  • Olympia, WA
  • NPI 1235271701
  NPD (past)
• Providence Health & Services- Washington

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1053502815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 10TH AVE STE 178",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841032885",
            "telephone_number": "801-408-2500",
            "fax_number": "801-408-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 10TH AVE STE 178",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841032885",
            "telephone_number": "801-408-2500",
            "fax_number": "801-408-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "UT",
            "license": "1641971205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Snyder, LCSW
• Daniel Snyder
• Seth Soleil
• Vanessa Sommerfeld
• Jerry W Sonkens, MD
• Erica Soucie
• Tylynn Southwick
• Trevor Speegle
• Sean Spinner
• Jeanne St.Clergy, REGISTER NURSE

• Urology Physician in SLC, UT
• Providers in SLC, UT by specialty
• Urology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.