David D. Sova, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DS009922 Issued in MI

Practice address

4081 Cascade Rd SE
Ste a
Grand Rapids, MI 49456

Phone

(616) 957-3500

Fax

(616) 957-3501

NPI assigned

May 4, 2006

Last updated

May 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 10, 2016 through Oct 10, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1952359895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 CASCADE RD SE",
            "address_2": "STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49456",
            "telephone_number": "616-957-3500",
            "fax_number": "616-957-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 CASCADE RD SE",
            "address_2": "STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49456",
            "telephone_number": "616-957-3500",
            "fax_number": "616-957-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVA",
        "first_name": "DAVID",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "DS009922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Southerland, RN, IBCLC
• Joann Southern, 2705001197
• Elaina J Southwell, LMSW
• Thompson Southwell Jr., MD
• Ashleigh R Southwick
• Jennifer Sova, M.A. CCC-SLP
• Logan Sowers Randell Sowers
• Marguerite B Sowers, PA-C
• Heather Aileen Sowinski, DO
• Olufemi O Soyode, MD

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.