Active NPI
Jacque Jenning Sokolov, M.D.
- Internal Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1881806982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 33896
- Practice address
- 5685 N Scottsdale Rd
E100
Scottsdale, AZ 85250-5900 - Phone
- (480) 707-4521
- NPI assigned
- May 3, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 33896 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | G39470 | CA | |
| Internal Medicine Physician | 207R00000X | 25099 | MN | |
| Internal Medicine Physician | 207R00000X | G0148 | TX |
Addresses
Primary practice location
5685 N Scottsdale Rd
E100
Scottsdale, AZ 85250-5900
Mailing address
5685 N Scottsdale Rd
E100
Scottsdale, AZ 85250-5900
Phone (480) 707-4521
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33896 | AZ | MD | Internal Medicine Physician |
| G39470 | CA | MD | Internal Medicine Physician |
| 25099 | MN | MD | Internal Medicine Physician |
| G0148 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881806982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5685 N SCOTTSDALE RD",
"address_2": "E100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852505900",
"telephone_number": "480-707-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5685 N SCOTTSDALE RD",
"address_2": "E100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852505900",
"telephone_number": "480-707-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOKOLOV",
"first_name": "JACQUE",
"middle_name": "JENNING",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "33896",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G39470",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "25099",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "G0148",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.