Individual provider Active NPI

Sophia Gee O'Donnell, MD

  • Emergency Medicine Physician
  • New London, CT
National Provider Identifier
1255582268
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
049513 Issued in CT
Practice address
365 Montauk Ave
Emergency Medicine Department
New London, CT 06320-4700
Phone
(860) 444-3733
NPI assigned
Oct 8, 2008
Last updated
Sep 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 049513 CT Primary

Addresses

Primary practice location

365 Montauk Ave
Emergency Medicine Department
New London, CT 06320-4700

Mailing address

365 Montauk Ave
Emergency Medicine Department
New London, CT 06320-4700

Other names 1

  • Sophia Wing-San Gee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110802000285 CT Practitioner - Emergency Medicine 8820267297 Reassigns benefits to 2 organizations
I20131122000770 RI Practitioner - Emergency Medicine 8820267297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
049513CTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence and Memorial Hospital, Inc. Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Emergency Physician Associates of New England PC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
The William W Backus Hospital CurrentSince Feb 1, 2012 Accepting new patients
Emergency Care Services of New England PC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
William W Backus Hospital CurrentSince Feb 1, 2012 Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Interoperability endpoints

  • Direct secure messaging: sodonnell329686@direct.ynhh.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1255582268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-444-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "SOPHIA",
        "middle_name": "GEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "049513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "GEE",
            "middle_name": "WING-SAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.