Panin Soadwa-Humphrey, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35-088989 Issued in OH

Practice address

1111 Hayes Ave
Sandusky, OH 44870-3323

Phone

(419) 557-7400

NPI assigned

Jun 28, 2007

Last updated

Oct 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

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.

• University Primary Care Practices Inc

  dba UPCP Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1154375681

  Pediatrics

  NPD (past)
• University Primary Care Practices Inc

  dba UH North Olmsted Urgent Care

  • Urgent Care Clinic/Center
  • North Olmsted, OH
  • NPI 1467533885
  NPD (past)
• Adventist Healthcare, Inc.

  dba Adventist HealthCare Shady Grove Medical Center

  • General Acute Care Hospital
  • Rockville, MD
  • NPI 1568468221
  NPD (past)
• Children's Hospital

  • Children's Hospital
  • Washington, DC
  • NPI 1912939703
  NPD (past)
• Hospital Physician Services, LLLP

  • General Acute Care Hospital
  • Westminster, MD
  • NPI 1457302713
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1972700409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "THIRD FLOOR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "419-557-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703323",
            "telephone_number": "419-557-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOADWA-HUMPHREY",
        "first_name": "PANIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0065797",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-088989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Michelle Smith, AT, ATC
• Stephen P Sneider, PT
• Angela Snyder, NP
• Eric Lee Snyder, DDS
• Pamela D Snyder, APRN, CNP
• William J Solak, RN
• Abbigayle G Soliday
• Agnes Soos-Toldy
• Paula Sorah
• Linda Engeswick Sorg

• Pediatrics Physician in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.