Sophia B. Petkov, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOPHIA B. PETKOV, M.D.

Practice address

75 Powhatton Dr
Milford, OH 45150-1661

Phone

(513) 831-3310

Fax

(513) 831-3311

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sophia B Petkov, M.D.

Title

Doctor

Phone

(513) 831-3310

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801911359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 POWHATTON DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501661",
            "telephone_number": "513-831-3310",
            "fax_number": "513-831-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 POWHATTON DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501661",
            "telephone_number": "513-831-3310",
            "fax_number": "513-831-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA B. PETKOV, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETKOV",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "513-831-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CHOICE CARE",
            "identifier": "36901",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC-BS",
            "identifier": "000000006898",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247638",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "645595",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda M Snellman
• Allison Marie Snider
• Steven L. Snow, D.D.S
• Leah Snyder, MA, BCBA
• Leighton Ann Solomon
• Marianne Sparks
• Jennifer Leigh Speller, APRN.CNP
• Sean Thomas Spille, PHD
• Erin Sprang
• St. Vincent de Paul Charitable Pharmacy - Milford

• Primary Care Clinic/Center in Milford, OH
• Providers in Milford, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.