Soni Kevin Patterson Clubb, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

033858 Issued in CT

Practice address

John Dempsey Hospital
263 Farmington Avenue, MC-2801
Farmington, CT 06030-0001

Phone

(860) 679-7514

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kevin Patterson Clubb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1376566760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOHN DEMPSEY HOSPITAL",
            "address_2": "263 FARMINGTON AVENUE, MC-2801",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-2588",
            "fax_number": "860-670-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN DEMPSEY HOSPITAL",
            "address_2": "263 FARMINGTON AVENUE, MC-2801",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUBB",
        "first_name": "SONI",
        "middle_name": "KEVIN PATTERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "033858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "CLUBB",
            "middle_name": "PATTERSON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria C Clement, APRN
• Maayan Eden Clements
• Edward Aloysius Clerkin III, M.D.
• Ann Cathryn Clifford, MS, CCC-SLP
• Adam Kenneth Cloud, M.D.
• Hamza Coban, MD
• Juan Pablo Cobar Ligorria, MD
• Santiago Fabian Cobos Cobos, DDS
• Kelsey Cochran, BCBA
• Cohen Dermatopathology, PC

• Emergency Medicine Physician in Farmington, CT
• Providers in Farmington, CT by specialty
• Emergency Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.