DR. JASON A. SORIANO (NPI# 1508898669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508898669 |
| Entity Type | Individual |
| Full Name | DR. JASON A. SORIANO |
| Credential | M.D. |
| Practice Address |
1960 Regents Way Marietta GA 30062 |
| Mailing Address |
3 Maryland Farms Ste 200 Brentwood TN 37027-5005 |
| Practice Telephone | 6153455400 |
| Mailing Telephone | 6153455400 |
| Mailing Fax Number | 6153455405 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
043489 | GA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
22636 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | G43489 | 05 | |
| FL | STATE LICENSE | ME112191 | 01 |
| GA | MEDICARE PTAN | 202I138999 | 01 |
| GA | RAILROAD MEDICARE | P01290090 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275920969 | Jason Soriano | Psychologist | 3784 Fox Pointe, Rockford, IL 61114-7078 | 2015-04-20 |
| Street Address |
1960 REGENTS WAY |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609266634 | Bruce Gillett | Psychiatry & Neurology | 948 Greymont Cir Nw, Marietta, GA 30064-1328 | 2015-01-29 |
| 1033516356 | Neuro Proread Solutions | Psychiatry & Neurology | 2378 Riderwood Court, Marietta, GA 30062-4689 | 2014-12-02 |
| 1578618815 | Jawaid Ahsan | Psychiatry & Neurology | 1000 Johnson Ferry Rd., Bldg. E Ste.220, Marietta, GA 30068-0001 | 2007-01-25 |
| 1215027487 | James A Armstrong | Psychiatry & Neurology | 677 Church St Ne Ste 100, Marietta, GA 30060-1101 | 2006-10-16 |
| 1447351051 | Archana Koganti | Psychiatry & Neurology | 780 Canton Rd Ne Ste 400, Marietta, GA 30060 | 2006-09-26 |
| 1902885502 | Daniel Joseph Howley | Psychiatry & Neurology | 400 Matthew St Ste 211, Marietta, OH 45750-1656 | 2006-01-11 |
| 1235128984 | Eliahu S Feen | Psychiatry & Neurology | 677 Church Street, Suite 100n, Marietta, GA 30060 | 2005-10-17 |
| 1053303404 | David Scott Whitcomb | Psychiatry & Neurology | 1521 Johnson Ferry Rd, Suite 135, Marietta, GA 30062-6404 | 2005-08-20 |
| 1619362068 | Zachery Williams Rohm | Psychiatry & Neurology | 677 Church St Ne Ste 100n, Marietta, GA 30060-1101 | 2015-04-02 |
| 1811380025 | Wellstar Medical Group, LLC | Psychiatry & Neurology | 780 Canton Rd Ne, Suite 400, Marietta, GA 30060-7298 | 2015-03-12 |
| Find all providers in MARIETTA | ||||
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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.