Active NPI
Joseph Sobota, M. D.
- General Practice Physician
- Harbor Springs, MI
National Provider Identifier
1982062154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301028352
- Practice address
- 2339 Pennsylvania Ave.
Harbor Springs, MI 49740-4253 - Phone
- (269) 567-0240
- NPI assigned
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301028352 | MI | Primary |
Addresses
Primary practice location
2339 Pennsylvania Ave.
Harbor Springs, MI 49740-4253
Mailing address
PO Box 4253
Harbor Springs, MI 49740-4253
Phone (269) 567-0240
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301028352 | MI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1982062154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4253",
"city": "HARBOR SPRINGS",
"state": "MI",
"postal_code": "497404253",
"telephone_number": "269-567-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2339 PENNSYLVANIA AVE.",
"city": "HARBOR SPRINGS",
"state": "MI",
"postal_code": "497404253",
"telephone_number": "269-567-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBOTA",
"first_name": "JOSEPH",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301028352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harbor Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.