Michael D Soronen, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD00013489 Issued in WA

Practice address

314 MLK Jr Way
# 11
Tacoma, WA 98405-4499

Phone

(253) 627-6172

Fax

(253) 627-8792

NPI assigned

Feb 1, 2006

Last updated

Aug 28, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Peninsula Rad Onc Ctr LLC

  • Radiology Clinic/Center
  • Gig Harbor, WA
  • NPI 1366694796

  Radiation Oncology

  NPD (past)
• Universal Treatment Center, Inc

  dba Auburn Regional Center for Cancer Care

  • Radiation Oncology Clinic/Center
  • Auburn, WA
  • NPI 1932325313
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1861463242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MLK JR WAY",
            "address_2": "STE 11",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-627-6172",
            "fax_number": "253-627-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MLK JR WAY",
            "address_2": "# 11",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054499",
            "telephone_number": "253-627-6172",
            "fax_number": "253-627-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORONEN",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00013489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133107",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Ann Sorem, RN
• Douglas Melville Sorensen, M.D.
• Jennifer Laura Sorensen, MA
• Brent Alan Sorenson, DDS
• Maureen K Sorenson
• Derick Sosa
• Elizabeth Sosa, PSYD
• Joel Sosa
• Selia Marie Sosa
• Nicholas Robert Sotak, DMD

• Radiation Oncology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Radiation Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.