Benjamin Soeter, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

118204 Issued in MO

Practice address

2000 Roosevelt Rd
Valparaiso, IN 46383-2800

Phone

(219) 983-8300

NPI assigned

Feb 3, 2006

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Pain Management Interventions, LLC

  • Interventional Pain Medicine Physician
  • Valparaiso, IN
  • NPI 1700849247
  Authorized official Same address or phone
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Interventional Pain Medicine

  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1619949674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639020393",
            "telephone_number": "573-785-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ROOSEVELT RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832800",
            "telephone_number": "219-983-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOETER",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MO",
            "license": "118204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Suomi Smith, MA
• Wendy L Smith
• John E Smolnicky, D. D. S
• Cecilia Annette Snyder, LMHC
• Elizabeth Sobczak
• Yuli Soeter, MD
• Sole Foot and Ankle LLC
• Athena Soleim, LCSW
• Paul Gilbert Sommer, DPM
• Rebecca Marie Somodi, DT-ED

• Interventional Pain Medicine Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Interventional Pain Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.