ROBERT SORENSEN (NPI# 1073937835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073937835 |
| Entity Type | Individual |
| Full Name | ROBERT SORENSEN |
| Credential | M.D. |
| Practice Address |
101 Bodin Cir Fairfield CA 94535-1809 |
| Mailing Address |
101 Bodin Cir Travis Afb CA 94535-1809 |
| Practice Telephone | 7074235105 |
| Mailing Telephone | 7074235105 |
| Mailing Fax Number | 7074233358 |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2020-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A162943 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 28714 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Bergquist Dr Ste 1, Whmc/ge-2200, Jbsa Lackland Afb, TX 782365300 | 2102928808 | 2102923781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447215702 | Robert H Sorensen | Emergency Medicine | 6 E Witchwood Ln, Lake Bluff, IL 60044-2741 | 2006-04-19 |
| 1356335897 | Robert A Sorensen | Optometrist | 8445 N Government Way, Hayden, ID 83835-9280 | 2005-09-09 |
| 1225362494 | Robert Michael Sorensen | Counselor | 9150 Huebner Rd, Ste 210, San Antonio, TX 78240-1558 | 2009-09-21 |
| 1609852243 | Robert M Sorensen | Anesthesiology | 1544 W Antelope Dr, Layton, UT 84041-1146 | 2005-12-15 |
| Street Address |
101 BODIN CIR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94535-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504093 | Dallas Mcwilliams | Military Health Care Provider | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-10-02 |
| 1669082897 | Sahra K. Pak | Dietitian, Registered | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-08-03 |
| 1164031407 | Abigail Greenwell | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-07-22 |
| 1851919468 | Derek P Brady | Military Health Care Provider | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-07-09 |
| 1588282396 | Jacob Blotter | Counselor | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-07-08 |
| 1154947679 | Daniel Warren Cline | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-06-20 |
| 1477174654 | Robert Dillon Hill | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-04-29 |
| 1124653878 | Hana L Ha | Pharmacist | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-03-03 |
| 1972137644 | Audrey Nicole Imperial | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-03-02 |
| 1366074163 | Christian Heinrich Kniep | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053554667 | Brittany Craiglow | Dermatology | 140 Sherman St Fl 3, Fairfield, CT 06824-5849 | 2009-04-13 |
| 1699713107 | Scott Charles Grevey | Dermatology | 1213 Nilles Rd, Fairfield, OH 45014-2911 | 2006-06-04 |
| 1649217936 | Karl Reinhard Beutner | Dermatology | 480 Chadbourne Rd, Suite 201, Fairfield, CA 94534-9647 | 2006-06-02 |
| 1063822237 | Dorota Zuzanna Korta | Dermatology | 2720 Low Ct, Fairfield, CA 94534-9771 | 2014-04-28 |
| 1851699532 | Bien-aimee Vu Lau | Dermatology | 2720 Low Ct, Fairfield, CA 94534-9771 | 2011-03-04 |
| 1346488699 | Solano Dermatology Associates Inc | Dermatology | 480 Chadbourne Rd, Ste 201, Fairfield, CA 94534-9647 | 2009-01-25 |
| 1750545620 | Ingrid C. Freeny | Dermatology | 2720 Low Court, Fairfield, CA 94534 | 2008-07-10 |
| 1528226750 | Elizabeth Corr Anderson Smith | Dermatology | 1305 Post Rd, Suite 310, Fairfield, CT 06824-6016 | 2008-05-23 |
| 1649492752 | Jason Carl Mcbean | Dermatology | 1305 Post Rd, Suite 310, Fairfield, CT 06824-6016 | 2007-05-02 |
| 1851488191 | Ivan S Cohen | Dermatology | 1305 Post Road, Suite 310, Fairfield, CT 06824-6018 | 2006-10-06 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.