Licerio S Soto, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

23887 Issued in KY

Practice address

240 Hospital Rd
Whitesburg, KY 41858-7627

Phone

(606) 633-3500

Fax

(606) 633-3652

NPI assigned

Jun 25, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Southern Medical Partners, LLC

  • Emergency Medicine Physician
  • Hazard, KY
  • NPI 1538109962
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487680757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-3500",
            "fax_number": "606-633-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL RD",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587627",
            "telephone_number": "606-633-3500",
            "fax_number": "606-633-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "LICERIO",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "23887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64238876",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Smallwood, PT
• Kristin Smith
• McKenzie Smith, DMD
• Natasha Smith, APRN
• Sally Emma Smith, DO
• Kyla G. Stanley, APRN
• James Stone
• Jennie Sturgill, APRN
• Ashley Sumpter, APRN
• David Terwilliger, DO

• Specialist in Whitesburg, KY
• Providers in Whitesburg, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.