Susan Fort Sordoni, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD072550L Issued in PA

Practice address

250 Pierce St
Suite 115
Kingston, PA 18704-5149

Phone

(570) 714-2999

NPI assigned

Sep 29, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 13

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Susan F. Sordoni, MD PC

  • Family Medicine Physician
  • Kingston, PA
  • NPI 1972708857
  NPD Authorized official
• Keystone Neurosensory Centers,LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Kingston, PA
  • NPI 1417148289
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770570459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1164",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040164",
            "telephone_number": "570-714-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST",
            "address_2": "SUITE 115",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-714-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORDONI",
        "first_name": "SUSAN",
        "middle_name": "FORT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD072550L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PLUS-3 RIVERS-UNASYN",
            "identifier": "0018304560003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "20 3165381",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018304560003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP",
            "identifier": "20 3165381",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MC ADVANTAGE & HMO",
            "identifier": "1058606",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "193973",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON HEALTH CARE",
            "identifier": "203165381",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPL",
            "identifier": "7822738",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "002782",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "20 3165381",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "60162",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "20 3165381",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR  FECA",
            "identifier": "61056770",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Snyder, RPH
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• Agnes Helen Soltys, MA, LBS, BCBA
• Amanda Karen Somma, RN
• Sarah Rose Spadoni
• Dal S Sperazza, M.D.
• Sphere Mobile Digital Imaging Services LLC
• Michael Joseph Spiccioli, D.C.
• Deborah A Spring, MD

• Family Medicine Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.