Jon Duane Sobotka, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD 15522 Issued in OR

Practice address

530 NW 27TH St
Benton County Health Department
Corvallis, OR 97330-5223

Phone

(541) 766-6835

Fax

(541) 766-6186

NPI assigned

Dec 9, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Psychiatry

Education

University of Washington School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of LinnGroup PAC ID 7911984638, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• County of Linn

  • Community/Behavioral Health Agency
  • Albany, OR
  • NPI 1760575781
  Medicare reassignment Care Compare group NPD
• County of Linn

  dba Linn County Department of Health Services - Public Health

  • Medical Specialty Clinic/Center
  • Albany, OR
  • NPI 1174282172
  NPD
• County of Linn

  • Community/Behavioral Health Agency
  • Albany, OR
  • NPI 1194814103
  NPD
• County of Linn

  dba Linn County Public Health

  • Non-Surgical Family Planning Clinic/Center
  • Albany, OR
  • NPI 1003991365
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1356326516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 NW 35TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304914",
            "telephone_number": "541-740-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 27TH ST",
            "address_2": "BENTON COUNTY HEALTH DEPARTMENT",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973305223",
            "telephone_number": "541-766-6835",
            "fax_number": "541-766-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOTKA",
        "first_name": "JON",
        "middle_name": "DUANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD 15522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023192",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Snyder
• Karla J Snyder, CNM
• Lorinda Snyder
• Moina Tahnee Snyder, D.O
• Lina Soares, LCSW, MSW
• Norma J Soffa, FNP
• Sol4Ce LLC
• Solace Care Medical Massage Clinic, LLC
• Damian James Solar
• Jacob Robert Degarlais Solar

• Psychiatry Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.