NPIMap

Organization Active NPI

Soni and Soni Pediatrics and Surgery

  • Surgery Physician
  • Etowah, TN
National Provider Identifier
1639375868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9198 Issued in TN
Legal business name
SONI AND SONI PEDIATRICS AND SURGERY
Practice address
109 Grady Rd Ste B
Etowah, TN 37331-1919
Phone
(423) 263-6486
Fax
(423) 263-5704
NPI assigned
Jun 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Misty D Irvin
Title
Office Manager
Phone
(423) 263-1147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9198 TN Primary

Addresses

Primary practice location

109 Grady Rd Ste B
Etowah, TN 37331-1919

Mailing address

PO Box 500
Etowah, TN 37331-0500
Phone (423) 263-1147

National Provider Directory

National Provider Directory
Tax ID family
Dr Harish Soni2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639375868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373310500",
            "telephone_number": "423-263-1147",
            "fax_number": "423-263-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GRADY RD STE B",
            "city": "ETOWAH",
            "state": "TN",
            "postal_code": "373311919",
            "telephone_number": "423-263-6486",
            "fax_number": "423-263-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONI AND SONI PEDIATRICS AND SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-263-1147",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "9198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Etowah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.