Russell L. Sorensen LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1638911205 Issued in UT

Legal business name

RUSSELL L. SORENSEN LLC

Practice address

9844 S 1300 E Ste 250
Sandy, UT 84094-4691

Phone

(801) 571-1552

Fax

(801) 571-1562

NPI assigned

Jul 16, 2013

Organization subpart

No

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

Authorized official

Name

Russell L Sorensen, M.D.

Title

President

Phone

(801) 571-1552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1568803773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E STE 250",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944691",
            "telephone_number": "801-571-1552",
            "fax_number": "801-571-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E STE 250",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944691",
            "telephone_number": "801-571-1552",
            "fax_number": "801-571-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL L. SORENSEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-571-1552",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "1638911205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RP Medical Supply
• Richard Thomas Ruff, D.C.
• Jennifer Marie Rupp, LCSW
• Russell a Smith, MD PC
• Russell G. Lewis DDS PC
• Matthew Rutherford, CMHC
• Rebecca Ryser, PH.D.
• S. Corbin Clark M.D.P.C.
• Aaron Jay Sabey, PA-C
• Shelley Stewart Sachs, MFT

• Specialist in Sandy, UT
• Providers in Sandy, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.