Active NPI
Augusto Sotelo, MD
- Otolaryngology Physician
- Greensburg, PA
National Provider Identifier
1972678340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD030968L
- Practice address
- 235 Humphrey Road
Suite 6
Greensburg, PA 15601 - Phone
- (724) 838-8818
- Fax
- (724) 838-1791
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD030968L | PA | Primary |
Addresses
Primary practice location
235 Humphrey Road
Suite 6
Greensburg, PA 15601
Mailing address
235 Humphrey Road
Suite 6
Greensburg, PA 15601
Phone (724) 838-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006034260001 | Medicaid | PA |
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 |
|---|---|---|---|
| MD030968L | PA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972678340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 HUMPHREY ROAD",
"address_2": "SUITE 6",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "15601",
"telephone_number": "724-838-8818",
"fax_number": "724-838-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 HUMPHREY ROAD",
"address_2": "SUITE 6",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "15601",
"telephone_number": "724-838-8818",
"fax_number": "724-838-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTELO",
"first_name": "AUGUSTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "PA",
"license": "MD030968L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006034260001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.