Active NPI
Sotolongo Clinic, PA
- Podiatrist
- Ridgeland, MS
National Provider Identifier
1679826945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- SOTOLONGO CLINIC, PA
- Practice address
- 731 S Pear Orchard Rd
Suite 7
Ridgeland, MS 39157-4800 - Phone
- (601) 206-9101
- NPI assigned
- Oct 23, 2012
- Organization subpart
- Yes
- Parent organization
- SOTOLONGO CLINIC, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rose M. Sotolongo, DPM
- Title
- Owner
- Phone
- (601) 206-9101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary | ||
| Non-Pharmacy Dispensing Site | 332900000X |
Addresses
Primary practice location
731 S Pear Orchard Rd
Suite 7
Ridgeland, MS 39157-4800
Mailing address
731 S Pear Orchard Rd Ste 7
Ridgeland, MS 39157-4839
Phone (601) 206-9101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Sotolongo Clinic PA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Ridgeland, MS
- NPI 1790779858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673568000000",
"number": "1679826945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 S PEAR ORCHARD RD STE 7",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574839",
"telephone_number": "601-206-9101",
"fax_number": "601-206-9102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 S PEAR ORCHARD RD",
"address_2": "SUITE 7",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574800",
"telephone_number": "601-206-9101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOTOLONGO CLINIC, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOTOLONGO CLINIC, PA",
"enumeration_date": "2012-10-23",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A",
"authorized_official_last_name": "SOTOLONGO",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-206-9101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.