Dhanraj J. Soogree M.D. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

210443 Issued in NY

Legal business name

DHANRAJ J. SOOGREE M.D. P.C.

Practice address

144 W 4TH St
Oswego, NY 13126-2504

Phone

(315) 342-2521

Fax

(315) 342-4277

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Dhanraj Jattan Soogree, M.D.

Title

Owner

Phone

(315) 342-2521

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Fourth Street Family Medicine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Perumunda Krishna Sharma, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Corinth, NY
  • NPI 1225068828
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1679745764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W 4TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262504",
            "telephone_number": "315-342-2521",
            "fax_number": "315-342-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 4TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262504",
            "telephone_number": "315-342-2521",
            "fax_number": "315-342-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHANRAJ J. SOOGREE M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "SOOGREE",
        "authorized_official_first_name": "DHANRAJ",
        "authorized_official_middle_name": "JATTAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-342-2521",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "210443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01857538",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NY EXCELLUS",
            "identifier": "1194755322",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000115478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fourth Street Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colby Develder
• Aimee Devinny, RN
• Dennis Dewane, PTA
• Cailee Dewolf
• David Judson Dexter, OD
• Dialysis Clinic, Inc.
• Suzanne Marie Dibble
• Jessica Rae Dickinson, PTA
• Jessica Marie Digby, PA-C
• Digestive Disease Medicine of Oswego County,PLLC

• Family Medicine Physician in Oswego, NY
• Providers in Oswego, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.