DR. DOUGLAS P SORENSEN (NPI# 1245231190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245231190 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS P SORENSEN |
| Credential | MD |
| Practice Address |
200 Michigan Ave Melbourne FL 32901-3100 |
| Practice Telephone | 3217244400 |
| Practice Fax Number | 3217241139 |
| Mailing Telephone | 3217244400 |
| Mailing Fax Number | 3217241139 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2007-07-09 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME0043859 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669448346 | Douglas Melville Sorensen | Otolaryngology | 9003 166th Street Ct E, Puyallup, WA 98375-2029 | 2006-02-23 |
| Street Address |
200 MICHIGAN AVE |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346518826 | Sara S. Turse M.d.p.a. | Internal Medicine | 200 Michigan Ave, Melbourne, FL 32901-3100 | 2011-12-12 |
| 1972822559 | Sara Serge Turse | Internal Medicine | 200 Michigan Ave, Melbourne, FL 32901-3100 | 2010-05-22 |
| 1770591901 | Medical Associates of Brevard LLC | Clinic/Center | 200 Michigan Ave, Melbourne, FL 32901 | 2006-08-03 |
| 1972574333 | Adwait H Jathal | Internal Medicine | 200 Michigan Ave, Melbourne, FL 32901-3100 | 2006-02-01 |
| 1174505531 | John Claude Turse | Internal Medicine | 200 Michigan Ave, Melbourne, FL 32901-3100 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1144477795 | Matei T Andreoiu | Urology | 8725 N Wickham Rd Ste 202, Melbourne, FL 32940-2240 | 2008-08-26 |
| 1881869089 | Bassem M Eldaif | Urology | 6032 Farcenda Pl Ste 102, Melbourne, FL 32940 | 2008-04-28 |
| 1346462710 | Om Urology LLC | Urology | 3160 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-7204 | 2007-05-03 |
| 1598718504 | Noone Urology | Urology | 2202 S Babcock St, Suite 101, Melbourne, FL 32901-5370 | 2006-05-19 |
| 1649256256 | Peter P Zabinski | Urology | 1405 Pine St, Melbourne, FL 32901-3118 | 2005-12-16 |
| 1609867696 | Boris Havkin | Urology | 3021 W Eau Gallie Blvd, Melbourne, FL 32934-7005 | 2005-10-31 |
| 1750882247 | Bassem Eldaif Md Pa | Urology | 6032 Farcenda Pl Ste 102, Melbourne, FL 32940 | 2018-02-21 |
| 1679934996 | Boris Havkin Pllc | Urology | 3021 W Eau Gallie Blvd, Suite 103, Melbourne, FL 32934-7005 | 2016-03-14 |
| 1619262250 | Shiv B Patel | Urology | 1223 Gateway Dr Ste 2a, Melbourne, FL 32901-2607 | 2011-06-11 |
| Find all providers in MELBOURNE | ||||
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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.