MICHAEL DEAN SOE


Address: 450 East 23rd St, Fremont, NE 68025
Phone: 4027213070

MICHAEL DEAN SOE (NPI# 1376589465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376589465
Entity Type Individual
Full Name MICHAEL DEAN SOE
Credential MD
Practice Address 450 East 23rd St
Fremont
NE 68025
Mailing Address 415 E 23rd St
Ste 210
Fremont
NE 68025-2393
Practice Telephone 4027213070
Practice Fax Number 4027273513
Mailing Telephone 4027214866
Mailing Fax Number 4027213229
Enumeration Date 2006-06-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
18553 NE Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NE 47058135000 05

Office Location

Street Address 450 EAST 23RD ST
City FREMONT
State NE
Zip Code 68025

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1982142857 Paula Y. Walla Speech-Language Pathologist 130 E. 9th St., Fremont, NE 68025 2017-02-10
1619326709 Debra Baker Nurse Practitioner 3140 Elk Ln Ste 600, Fremont, NE 68025 2016-06-09
1912368069 Nicole Henkel Occupational Therapist 450 East 23rd, Fremont, NE 68025 2016-03-17
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1265770366 James N Orr Pharmacist 840 E 23 St, Fremont, NE 68025 2013-01-24
1902156086 Penelope Anastasia Stoll Speech-Language Pathologist Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 2012-09-14
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396974069 Imanual Somers-dehaney Radiology 44 River Run Dr, Fremont, OH 43420-3621 2009-07-02
1427217876 Grace Lin Radiology Kaiser Foundation Hospital, Department of Radiology, Fremont, CA 94538 2008-06-02
1013031772 Norcal Imaging Radiology 2201 Walnut Ave, Suite # 150, Fremont, CA 94538-2334 2007-03-19
1669573838 Daniel Michael Mcnay Radiology 43575 Mission Blvd # 517, Fremont, CA 94539-5831 2006-09-26
1467493536 Brian Kaoru Nagai Radiology 3200 Kearney St., Fremont, CA 94538 2006-06-09
1033162615 Jeffrey A Himmelberg Radiology 450 East 23rd Street, Fremont, NE 68025 2006-05-18
1447241302 Inview Imaging Medical Corporation Radiology 39465 Paseo Padre Pkwy, Suite 1000, Fremont, CA 94538-5347 2005-10-31
1043203219 Bruce L Hammond Radiology 715 S Taft Ave, Fremont, OH 43420-3200 2005-08-23
1336566702 Maureen Claire Chapman Radiology 3200 Kearney St, Fremont, CA 94538-2299 2014-03-24
1093011884 Jaskiran Kaur Sharkey Radiology 39400 Paseo Padre Pkwy, Kaiser Permanente, Fremont, CA 94538-2310 2011-01-27
Find all providers in FREMONT

Competitor

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City FREMONT
Zip Code 68025

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Dataset Information

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.

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