Jacqueline Michelle Soegaard Ballester, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MT213455 Issued in PA

Practice address

3400 Spruce St
Hospital of the University of Pennsylvania, 4 Maloney
Philadelphia, PA 19104-4238

Phone

(787) 548-7440

NPI assigned

Mar 31, 2017

Last updated

Sep 9, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504915200000",
    "number": "1902338767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-531-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA, 4 MALONEY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "787-548-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOEGAARD BALLESTER",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT213455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Claire Soderquist, MD
• Gurasis Singh Sodhi, MBBS
• Mona Sodhi, DO
• Nipun Sodhi, MD
• Bradford Sodowick, MD
• Irene Soeller, CRNP
• Keren L Sofer, PSY.D.
• Michale Sofer, M.D.
• Stephen Soffer, PH.D.
• Soft Hearts Home Care

• Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2017; 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.