William R. Sonnenberg, MD

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD025681E Issued in PA

Legal business name

WILLIAM R. SONNENBERG, MD

Doing business as

William R. Sonnenberg, MD

Practice address

119 E Mechanic St
Titusville, PA 16354-2161

Phone

(814) 827-4665

NPI assigned

Feb 21, 2008

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Other names 1

• William R. Sonnenberg, MD Doing business as

Part of

Tri - State Medical Group Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Robert Sonnenberg, MD

  • Family Medicine Physician
  • Titusville, PA
  • NPI 1932173366
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1396914594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E MECHANIC ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163542161",
            "telephone_number": "814-827-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. SONNENBERG, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2008-02-21",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD025681E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William R. Sonnenberg, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa M.L. Weismann, M.P.T.
• Mary Christine Wethli, D.O.
• Richard B Whalen, MD
• Wildflower and Fern Counseling and Consulting LLC
• James B Wilkens Jr., M.D.
• Womens Health Association of Titusville
• Steven Zahn, RPH

• Non-Pharmacy Dispensing Site in Titusville, PA
• Providers in Titusville, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.