SOTERO LEON PERIGO


Address: 1128 S 2450 W, Syracuse, UT 84075-7051
Phone: 8019288436

SOTERO LEON PERIGO (NPI# 1598298358) 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) 1598298358
Entity Type Individual
Full Name SOTERO LEON PERIGO
Practice Address 1128 S 2450 W
Syracuse
UT 84075-7051
Practice Telephone 8019288436
Mailing Telephone 8019288436
Enumeration Date 2017-04-09
Last Update Date 2017-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1128 S 2450 W
City SYRACUSE
State UT
Zip Code 84075-7051

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750775235 Syracuse Assisted Living Phase I Assisted Living Facility 2063 W. 1900 S., Syracuse, UT 84075 2015-03-24
1881975464 Norman Kent Sharp II Dentist 1662 S 2000 W Ste A1, Syracuse, UT 84075 2011-09-08
1245471705 Ihc Health Services Inc Family Medicine 745 South 2000 West, Syracuse, UT 84075 2009-03-13
1124240197 Richard Jackson Psychologist 2650 West 2700 South, Syracuse, UT 84075 2007-05-02
1679799902 Nathan Wesley Elmore Chiropractor 1842 South 2000 West, Syracuse, UT 84075 2007-04-17
1972635332 Aspen Institute for Behavioral Assessment Psychiatric Residential Treatment Facility 2732 W 2700 S, Syracuse, UT 84075 2007-03-12
1427111558 Sheldon L Peck Dentist 1747 S Heritage Lane, Suite A3, Syracuse, UT 84075 2006-12-19
1811081771 Tyler R Elmore Chiropractor 1013 W 2700 S, Syracuse, UT 84075 2006-10-03
1235247438 Brett R Coleman Dentist 780 S 2000 W, Bldg E304, Syracuse, UT 84075 2006-08-28
1164431177 Kipton Jay Norris Dentist 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 2006-08-07
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609475136 Joan Sequeira Student in an Organized Health Care Education/Training Program 300 Audubon Pkwy Apt 95, Syracuse, NY 13224-1245 2020-10-26
1134728686 Sarah Grube Student in an Organized Health Care Education/Training Program 5599 Thompson Rd Apt A8, Syracuse, NY 13214-1667 2020-10-25
1669070413 Sarah Lynn Olszewski Student in an Organized Health Care Education/Training Program 451 Bryant Ave, Syracuse, NY 13204-2505 2020-10-14
1689281370 Ashley Summerton Student in an Organized Health Care Education/Training Program 721 N Clinton St Apt 315, Syracuse, NY 13204-1255 2020-09-26
1811503055 Matthew Vincent Morales I Student in an Organized Health Care Education/Training Program 904 Westcott St, Syracuse, NY 13210-2508 2020-09-22
1043826282 Alex J Zwierzynski Student in an Organized Health Care Education/Training Program 172 Greenland Dr, Syracuse, NY 13208-3057 2020-09-22
1528674934 Nicole Kaczor Student in an Organized Health Care Education/Training Program 200 Croyden Rd, Syracuse, NY 13224-1935 2020-09-21
1043826480 Faustin M. Bahizi Student in an Organized Health Care Education/Training Program 926 Maryland Ave, Syracuse, NY 13210-2504 2020-09-21
1306452743 Samantha Elizabeth Monaco Student in an Organized Health Care Education/Training Program 1420 Salt Springs Rd, Syracuse, NY 13214-1434 2020-09-21
1528686557 Siofra Murphy Student in an Organized Health Care Education/Training Program 4900 Broad Rd Ste 3m, Syracuse, NY 13215-2265 2020-07-07
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Competitor

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City SYRACUSE
Zip Code 84075

Improve Information

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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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