John B Sorensen, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

260533-1205 Issued in UT

Practice address

2475 S Huckleberry CT
Heber City, UT 84032-4600

Phone

(775) 764-7264

NPI assigned

Oct 13, 2006

Last updated

Jan 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Central Valley Medical Center

  dba Nephi Medical Clinic

  • Family Medicine Physician
  • Nephi, UT
  • NPI 1992724975
  Medicare reassignment
• Department of Pediatrics University of Utah

  • Pediatrics Physician
  • Salt Lake City, UT
  • NPI 1679528715
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1699865220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 S HUCKLEBERRY CT",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324600",
            "telephone_number": "775-764-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 S HUCKLEBERRY CT",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840324600",
            "telephone_number": "775-764-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "260533-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameryn Leigh Smith, APRN
• Tamatha Lee Smith, CMHC
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #63)
• Solstice Counseling & Wellness
• Jerold R. Sorensen, DDS
• Ben Springer, PH.D.
• Daniel Stagg, P.T.
• Stanton McDonald, MD PC
• Stillwater Psychology, LLC
• Strengthening the Family LLC

• Surgery Physician in Heber City, UT
• Providers in Heber City, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.