Victor Sobolewski III, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

60712260 Issued in WA

Practice address

4901 108TH St SW
Lakewood, WA 98499-3724

Phone

(253) 589-6484

Fax

(253) 984-1079

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Mso Washington, Inc.

  • Family Medicine Physician
  • Lakewood, WA
  • NPI 1891116109
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Renton, WA
  • NPI 1093117574
  Medicare reassignment NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1336158179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98886",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984968886",
            "telephone_number": "253-584-3577",
            "fax_number": "253-584-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 108TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993724",
            "telephone_number": "253-589-6484",
            "fax_number": "253-984-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOLEWSKI",
        "first_name": "VICTOR",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "60712260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas William Smurro, D.C.
• Chloe Helena Smyth
• Perlicia Snell
• Bonny L Snyder, BA
• Michelle Snyder, LSWAIC
• Kwon Sohn, NP
• Benjamin Solinger
• Deborah Sommer, BA
• Greer Starr Sommer, BS
• Mary B Sommer, OTR/L,CHT

• Family Medicine Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.