Soorena Sadri DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SOORENA SADRI DPM PA

Practice address

4956 Royal Gulf Cir
Fort Myers, FL 33966-7006

Phone

(239) 590-8860

Fax

(949) 577-4813

NPI assigned

May 15, 2012

Last updated

May 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Soorena Sadri, DPMNPI 1578792339

Title

Owner

Phone

(239) 590-8860

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Soorena Sadri, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1578792339
  NPD Authorized official

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1609135300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 ROYAL GULF CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339667006",
            "telephone_number": "239-590-8860",
            "fax_number": "949-577-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 ROYAL GULF CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339667006",
            "telephone_number": "239-590-8860",
            "fax_number": "949-577-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOORENA SADRI DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "SADRI",
        "authorized_official_first_name": "SOORENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-590-8860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01066091",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "6506A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chut Sombutmai, DO
• Melissa Lee Sommers, LCSW
• Jeffrey R Sonn, DO
• Sonus-USA, Inc.
• Michael Sookra
• Brian James Sorace, MD
• Brian Anthony Sorbello, L.M.T.
• Jill L Sorbello, PA
• Lee Sorensen, PT, DPT
• Matthew Sorenson

• Foot & Ankle Surgery Podiatrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.