Active NPI
Jose V Somohano, MD
- Pediatrics Physician
- Atlanta, GA
National Provider Identifier
1912965245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 022645
- Practice address
- 20 Glenlake Pkwy
Atlanta, GA 30328 - Phone
- (770) 677-6037
- Fax
- (770) 677-7324
- NPI assigned
- May 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 022645 | GA | Primary |
Addresses
Primary practice location
20 Glenlake Pkwy
Atlanta, GA 30328
Mailing address
20 Glenlake Pkwy
Atlanta, GA 30328
Phone (770) 677-6037
Other names 1
- Jose Vicente Somohano
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912965245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GLENLAKE PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30328",
"telephone_number": "770-677-6037",
"fax_number": "770-677-7324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 GLENLAKE PKWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30328",
"telephone_number": "770-677-6037",
"fax_number": "770-677-7324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMOHANO",
"first_name": "JOSE",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "022645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSE",
"last_name": "SOMOHANO",
"middle_name": "VICENTE",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Atlanta, GA
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.