Mark Sobor, MD

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

4301102383 Issued in MI

Legal business name

MARK SOBOR, MD

Practice address

13560 76TH St
Unit 2
South Haven, MI 49090-9483

Phone

(269) 206-3260

Fax

(269) 216-9687

NPI assigned

Nov 4, 2016

Organization subpart

No

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

Authorized official

Name

Barbara Tomaszewska

Title

Office Manager

Phone

(773) 308-6103

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1508308750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 N KEELER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413022",
            "telephone_number": "773-725-1267",
            "fax_number": "773-725-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13560 76TH ST",
            "address_2": "UNIT 2",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909483",
            "telephone_number": "269-206-3260",
            "fax_number": "269-216-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SOBOR, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "TOMASZEWSKA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-308-6103"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "MI",
            "license": "4301102383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "0800105",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.