Active NPI
Soma Pradhan, M.D.
- Obstetrics & Gynecology Physician
- Maysville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 43329
- Practice address
- 927 Kenton Station Dr
Maysville, KY 41056-9617 - Phone
- (606) 759-5331
- Fax
- (606) 759-5363
- NPI assigned
- Aug 9, 2007
- Last updated
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 56310 | LA | |
| Obstetrics & Gynecology Physician | 207V00000X | 43329 | KY | Primary |
Addresses
Primary practice location
927 Kenton Station Dr
Maysville, KY 41056-9617
Mailing address
PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459356 | Medicaid | LA | |
| 3078084 | Medicaid | OH | |
| 7100121250 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56310 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City OB/GYN, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Virginia Womens Center Inc | Current | Accepting new patients | |
| Obhg Virginia, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
13700 St Francis Blvd
Ste 603
Midlothian, VA 23114
Phone (804) 362-0808
13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300
13801 St Francis Blvd
Ste 150
Midlothian, VA 23114
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550
7130 Glen Forest Dr
Ste 101
Richmond, VA 23226
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Midlothian, VA
- NPI 1972807394
-
- Obstetrics & Gynecology Physician
- Midlothian, VA
- NPI 1417447657
-
- Specialist
- Richmond, VA
- NPI 1740594332
-
- Obstetrics & Gynecology Physician
- North Chesterfield, VA
- NPI 1639137979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1609067016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "VANCEBURG",
"state": "KY",
"postal_code": "411790550",
"telephone_number": "606-796-3029",
"fax_number": "606-796-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 KENTON STATION DR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410569617",
"telephone_number": "606-759-5331",
"fax_number": "606-759-5363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADHAN",
"first_name": "SOMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-09",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "56310",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KY",
"license": "43329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1459356",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078084",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100121250",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maysville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.