Christopher T Soprenuk, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

ME #50490 Issued in FL

Practice address

9846 US Highway 441
Leesburg, FL 34788-3910

Phone

(352) 728-1886

Fax

(352) 728-1024

NPI assigned

Oct 3, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185667200000",
    "number": "1962499111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883910",
            "telephone_number": "352-728-1886",
            "fax_number": "352-728-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883910",
            "telephone_number": "352-728-1886",
            "fax_number": "352-728-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPRENUK",
        "first_name": "CHRISTOPHER",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME #50490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258999100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00073542",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "04430",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Smith, LMHC
• SNG Labs-SNG Prosthetic Eye Institute, Inc.
• Jason Snyder, D.M.D.
• Michel A Snyder, MD
• Susan Evata Snyder, COTA
• Amarilis Sotolongo, MSN-FNP
• South Campus Facility Inc
• South Campus Nursing and Rehab LLC
• Laura Stokes Southern, PT
• Spectacular Touch, LLC

• Hematology & Oncology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2007; 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.