Clifford J Sondgerath, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01024827A Issued in IN

Practice address

3005 Greenbush St
Lafayette, IN 47904-2435

Phone

(765) 447-3103

Fax

(765) 449-4782

NPI assigned

Sep 13, 2005

Last updated

Oct 26, 2010By 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

Other identifiers 2

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.

• Chiropractic Solutions of West Lafayette, LLC

  • Chiropractor
  • Lafayette, IN
  • NPI 1811337322
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1699760066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 GREENBUSH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042435",
            "telephone_number": "765-447-3103",
            "fax_number": "765-449-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 GREENBUSH ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042435",
            "telephone_number": "765-447-3103",
            "fax_number": "765-449-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONDGERATH",
        "first_name": "CLIFFORD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01024827A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230910A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000375908",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Soliz, MFT
• Something Cool LLC
• Anne Elizabeth Sommer, AU.D. CCC-A
• Hannah Rose Sommer, M.A., LSCH
• Renee Sommers-Beagle
• Sonus-USA, Inc.
• Catherine Sorenson Letson
• Katelynn Soto
• South Point Clinic of Chiropractic
• Sherry Sovern

• Family Medicine Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.