Individual provider Active NPI

Eric A Sohn, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Spokane, WA
National Provider Identifier
1144220609
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD00037099 Issued in WA
Practice address
6420 W Kitsap Dr
Spokane, WA 99208-9059
Phone
(509) 464-1600
Fax
(509) 467-4590
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 MD00037099 WA
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD00037099 WA Primary

Addresses

Primary practice location

6420 W Kitsap Dr
Spokane, WA 99208-9059

Mailing address

1818 W Francis Ave # 385
Spokane, WA 99205-6834
Phone (509) 464-1600

Other identifiers 1

IdentifierTypeStateIssuer
8249740MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address indiantrailfm@hotmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040520001275 WA Practitioner - Family Practice 6002808326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00037099WAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Associates LLC Family Medicine Past Accepting new patients
Prevention NW PastSince Jan 1, 2003 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GentivaLiberty Lake, WA, CCN 501534 Hospice Contracted Managing Employee Nov 1, 2012
GentivaCoeur D Alene, ID, CCN 131576 Hospice Contracted Managing Employee Jan 16, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1144220609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W FRANCIS AVE # 385",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056834",
            "telephone_number": "509-464-1600",
            "fax_number": "509-467-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 W KITSAP DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089059",
            "telephone_number": "509-464-1600",
            "fax_number": "509-467-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHN",
        "first_name": "ERIC",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00037099",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00037099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8249740",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "indiantrailfm@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6420 W Kitsap Dr",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.