Active NPI
Angelo J Soyangco, MD
- Pulmonary Disease Physician
- Galesburg, IL
National Provider Identifier
1730293986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036085833
- Practice address
- 3375 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 343-5583
- Fax
- (309) 343-4276
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036085833 | IL | Primary |
Addresses
Primary practice location
3375 N Seminary St
Galesburg, IL 61401-1251
Mailing address
3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 343-5583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036085833 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036085833 | IL | MD | Pulmonary Disease Physician |
Interoperability endpoints
- asoyangc@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1730293986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-343-5583",
"fax_number": "309-343-4276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-343-5583",
"fax_number": "309-343-4276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOYANGCO",
"first_name": "ANGELO",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036085833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036085833",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, IL
- Caitlin Clare Smith, OT
- Patrick Smith, P.T.
- Shelby Smith, MPT
- Solvera Healthcare Center Inc (Solvera Pharmacy)
- Solvera Healthcare Center Inc
- Kristin Spiegel, LPC
- SRC, LP (Caring Senior Service of Galesburg)
- Parthasarathy Srinivasan, M.D.
- St Mary Medical Center (OSF Saint Mary Medical Center)
- St Mary Medical Center (OSF Home Health-Western Region)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.