Active NPI
Christine Soong, MD
- Hospitalist Physician
- Baltimore, MD
National Provider Identifier
1174713465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- D0065711
- Practice address
- 4940 Eastern Avenue
The Collaborative Inpatient Medicine Services John Hopk
Baltimore, MD 21224-2780 - Phone
- (410) 550-5018
- Fax
- (410) 550-2972
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | D0065711 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Avenue
The Collaborative Inpatient Medicine Services John Hopk
Baltimore, MD 21224-2780
Mailing address
1014 S Decker Ave
Baltimore, MD 21224
Phone (410) 800-2502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0065711 | MD | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1174713465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 S DECKER AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21224",
"telephone_number": "410-800-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVENUE",
"address_2": "THE COLLABORATIVE INPATIENT MEDICINE SERVICES JOHN HOPK",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242780",
"telephone_number": "410-550-5018",
"fax_number": "410-550-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOONG",
"first_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D0065711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.