Individual provider Active NPI

Jacque Jenning Sokolov, M.D.

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1881806982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33896 Issued in AZ
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
33896AZMDInternal Medicine Physician
G39470CAMDInternal Medicine Physician
25099MNMDInternal Medicine Physician
G0148TXMDInternal 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.

Verify at the official NPI Registry.