NPIMap

Individual provider Active NPI

Allen A Sossan, DO

  • Orthopaedic Surgery of the Spine Physician
  • Norfolk, NE
National Provider Identifier
1275526238
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
390 Issued in NE
Practice address
109 N 29TH St
Norfolk, NE 68701-3261
Phone
(402) 371-0839
Fax
(402) 371-0840
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 390 NE Primary

Addresses

Primary practice location

109 N 29TH St
Norfolk, NE 68701-3261

Mailing address

109 N 29TH St
Norfolk, NE 68701-3261
Phone (402) 371-0839

Other identifiers 2

IdentifierTypeStateIssuer
10025272500MedicaidNE
6402460MedicaidSD

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 Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Roy M. Rubin, M.D., Inc. Past Accepting new patients
Faith Regional Physician Services, LLC PastSince Dec 28, 2015 Accepting new patients
Phillip Fyman and Alexander Weingarten MD PC Past Accepting new patients
Faith Regional Physician Services, LLC Past Accepting new patients
Reconstructive Spinal Surgery & Orthopedic Surgery PC Orthopaedic Surgery of the Spine Past Accepting new patients
Phillip Fyman and Alexander Weingarten MD PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1275526238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N 29TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013261",
            "telephone_number": "402-371-0839",
            "fax_number": "402-371-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 29TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013261",
            "telephone_number": "402-371-0839",
            "fax_number": "402-371-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSSAN",
        "first_name": "ALLEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NE",
            "license": "390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025272500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402460",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.