Clinton Reyes Soriano, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

22056 Issued in NC

Practice address

1901 S Hawthorne Rd
Suite 340
Winston Salem, NC 27103-3921

Phone

(336) 765-6277

Fax

(336) 659-0449

NPI assigned

Apr 27, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Piedmont Community Physicians PC

  • Phlebology Physician
  • Winston Salem, NC
  • NPI 1972915510
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1972560498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD",
            "address_2": "SUITE 340",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033921",
            "telephone_number": "336-765-6277",
            "fax_number": "336-659-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD",
            "address_2": "SUITE 340",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033921",
            "telephone_number": "336-765-6277",
            "fax_number": "336-659-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "CLINTON",
        "middle_name": "REYES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "22056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4136089",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8978420",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charity Starkes Sorensen, PA-C
• Dina Marie Sorensen, NP
• Nicholas Marius Sorensen
• Cheri Leigh Sorg-Hackler, M.A., CCC-SLP
• Dana Sorg, SLP
• Alexander Ivanovich Sorokin, MD
• Steven Mark Sorscher, MD
• Mary O Sotile, MA, LPC
• Wayne M Sotile, PH.D.
• Elizabeth Joan Soto, PA

• Surgery Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.