Active NPI
Clifford Michael Sonnie, M.D., M.P.H.
- Public Health & General Preventive Medicine Physician
- Medina, OH
National Provider Identifier
1598865123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 049066
- Practice address
- 3985 Medina Rd
Suite 250
Medina, OH 44256-5968 - Phone
- (330) 764-4242
- NPI assigned
- Sep 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 049066 | OH | Primary |
Addresses
Primary practice location
3985 Medina Rd
Suite 250
Medina, OH 44256-5968
Mailing address
3985 Medina Rd
Suite 250
Medina, OH 44256-5968
Phone (330) 764-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 17, 2012 through Dec 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049066 | OH | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Backbone of Health LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Medina, OH
- NPI 1427227495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598865123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3985 MEDINA RD",
"address_2": "SUITE 250",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565968",
"telephone_number": "330-764-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3985 MEDINA RD",
"address_2": "SUITE 250",
"city": "MEDINA",
"state": "OH",
"postal_code": "442565968",
"telephone_number": "330-764-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNIE",
"first_name": "CLIFFORD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "OH",
"license": "049066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medina, OH
- Society for Handicapped Citizens
- Varun Sodhi
- Solutions Behavioral Healthcare, Inc.
- Solutions Behavioral Healthcare, Inc.
- Somnexus
- Cynthia Kay Sorensen
- Kaleena Sorma, R.N.
- Soul's Journey Counseling, LLC (Beverly Major)
- South Court Dental Medicine, Inc. -Jeffrey C Esterburg D.M.D. and Mich
- South Court Family Physicians Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.