Susan F Sordoni, MD, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUSAN F SORDONI, MD, PC

Practice address

250 Pierce St
Suite 115
Kingston, PA 18704-5149

Phone

(570) 714-2999

Fax

(570) 714-2903

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan F Sordoni, MD

Title

President

Phone

(570) 714-2999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sumaira Khan, M.D.

  • Family Medicine Physician
  • Kingston, PA
  • NPI 1336314343
  NPD (past)
• Shahrukh A Mirza, MD

  • Hospitalist Physician
  • Allentown, PA
  • NPI 1669622882
  NPD (past)
• Bret J Stemrich, PA

  • Physician Assistant
  • Kingston, PA
  • NPI 1356670244
  NPD (past)

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1104009711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 115",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-714-2999",
            "fax_number": "570-714-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 115",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-714-2999",
            "fax_number": "570-714-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN F SORDONI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "SORDONI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-714-2999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018304560003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M. Timchack, PSYD, P.C.
• Steven R. Kafrissen, MD, PC
• Alexandra Jayne Stevens, OD
• Jill Marie Stevens, RDN
• Gary Michael Stubbs, MA, LBS, BCBA
• Susan F. Sordoni, MD PC
• Susquehanna Counseling Group, Inc.
• Ashley Taylor Swanson, MSOTR/L
• Ashley Nicole Swantek, PTA
• Lorraine A Symons, PTA

• Clinic/Center in Kingston, PA
• Providers in Kingston, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.