Active NPI
Michael Jon Sokoloff, M.D.
- Pediatric Critical Care Medicine Physician
- Spokane, WA
National Provider Identifier
1962457549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- MD60122812
- Practice address
- 101 W 8TH Ave
Attn: Picu
Spokane, WA 99204-2307 - Phone
- (509) 474-4761
- Fax
- (509) 474-4239
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | MD60122812 | WA | Primary |
| Anesthesiology Physician | 207L00000X | MD60122812 | WA |
Addresses
Primary practice location
101 W 8TH Ave
Attn: Picu
Spokane, WA 99204-2307
Mailing address
PO Box 84301
Seattle, WA 98124-5601
Phone (509) 474-4761
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8567562 | Other | WA | WA DS ANES |
| 808621400 | Other | ID | ID DSHS |
| 8566028 | Other | WA | WA DSHS REG |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60122812 | WA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Critical Care Associates PS | Anesthesiology | Past | Accepting new patients |
| Providence Health & Services - Wa | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Critical Care Medicine Physician
- Spokane, WA
- NPI 1548210719
Anesthesiology
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1962457549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245601",
"telephone_number": "509-474-4761",
"fax_number": "509-474-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 8TH AVE",
"address_2": "ATTN: PICU",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042307",
"telephone_number": "509-474-4761",
"fax_number": "509-474-4239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOKOLOFF",
"first_name": "MICHAEL",
"middle_name": "JON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "WA",
"license": "MD60122812",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD60122812",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA DS ANES",
"identifier": "8567562",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ID DSHS",
"identifier": "808621400",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA DSHS REG",
"identifier": "8566028",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.