Marco A. Sobrino, M.D., F.A.C.S.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00039788 Issued in WA

Practice address

16122 8TH Ave SW
Suite D1
Burien, WA 98166-2967

Phone

(206) 244-1680

Fax

(206) 243-8845

NPI assigned

Oct 24, 2006

Last updated

Apr 26, 2010By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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.

• East Coast Wound Care P C

  • Specialist
  • Yonkers, NY
  • NPI 1275582181
  NPD (past)
• East Coast Wound Care, P.C.

  • Specialist
  • Yonkers, NY
  • NPI 1326350166
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1942384391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 116TH AVE NE",
            "address_2": "SUITE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043817",
            "telephone_number": "425-296-0010",
            "fax_number": "425-454-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16122 8TH AVE SW",
            "address_2": "SUITE D1",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662967",
            "telephone_number": "206-244-1680",
            "fax_number": "206-243-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBRINO",
        "first_name": "MARCO",
        "middle_name": "A.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "40371",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00039788",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "25459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8372831",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Smith, MD
• Toni Smith, RM,RC, LMT
• Carol Ann Snodgrass, RN - CBT
• Melissa Snyder, DPT
• Melinda Lea Sobel, D.O.
• Karen Jessica Sokol, LMHC
• Son and Lien Nguyen, PS (Burien Plaza Dental and Dentures)
• Son Nguyen Bui DMD PS (Burien Smiles)
• Sonika Singla, DMD, PLLC
• Soper Enterprises Burien PLLC (Advanced Orthodontics Burien)

• Surgery Physician in Burien, WA
• Providers in Burien, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.