Active NPI
Assis Soares, MD
- Urology Physician
- Talladega, AL
National Provider Identifier
1346328580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 10380
- Practice address
- 401 Medical Park
Talladega, AL 35160-2259 - Phone
- (256) 362-9239
- Fax
- (256) 761-1704
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 10380 | AL | Primary |
Addresses
Primary practice location
401 Medical Park
Talladega, AL 35160-2259
Mailing address
401 Medical Park
Talladega, AL 35160-2259
Phone (256) 362-9239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010678 | Medicaid | AL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1346328580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MEDICAL PARK",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602259",
"telephone_number": "256-362-9239",
"fax_number": "256-761-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MEDICAL PARK",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "351602259",
"telephone_number": "256-362-9239",
"fax_number": "256-761-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOARES",
"first_name": "ASSIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "10380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000010678",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Talladega, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.