DR. ALAN JOHN SOTO DELOS SANTOS (NPI# 1598740359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598740359 |
| Entity Type | Individual |
| Full Name | DR. ALAN JOHN SOTO DELOS SANTOS |
| Credential | M.D. |
| Practice Address |
201 Independence Columbus MS 39710-5300 |
| Practice Telephone | 6624242448 |
| Mailing Telephone | 6624242448 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD417205 | PA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 4301075537 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE BOARD LICENSE NO. | 4301075537 | 01 |
| Street Address |
201 INDEPENDENCE |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39710-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993843 | Cynthia Barrett | Social Worker | 201 Independence, Columbus, MS 39710-5300 | 2005-06-23 |
| 1346804531 | Caley Kropp | Student in an Organized Health Care Education/Training Program | 201 Independence, Columbus, MS 39710-5300 | 2019-04-24 |
| 1932696713 | James Tyler Bates | Family Medicine | 201 Independence, Columbus, MS 39710 | 2018-04-17 |
| 1497261051 | Gregory Correale | Pharmacist | 201 Independence, Columbus, MS 39710-5300 | 2017-12-19 |
| 1235580465 | Clare Weitz | Pharmacist | 201 Independence, Suite 2255, Columbus, MS 39710-5300 | 2016-06-29 |
| 1144679994 | Faga Samdumu | Pharmacist | 201 Independence, Columbus, MS 39710-5300 | 2016-06-11 |
| 1972964591 | Lauren Beers | Physical Therapist | 201 Independence, Columbus, MS 39710 | 2016-03-09 |
| 1780081026 | Anna Friscia | Registered Nurse | 201 Independence, Columbus, MS 39710-5300 | 2014-12-02 |
| 1992117378 | Jennifer Bryant Williams | Social Worker | 201 Independence, Columbus, MS 39710 | 2014-05-20 |
| 1891105466 | Robin Thompson | Registered Nurse | 201 Independence, Columbus, MS 39710-5300 | 2014-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558653063 | Steven Thomas Fosmire | Preventive Medicine | 14th Medical Group, 201 Independence Dr., Ste 2255, Columbus Afb, MS 39710 | 2011-05-03 |
| 1457311573 | Benjamin Jordan Franklin | Optometrist | 14 Medical Group, 201 Independence Dr Ste 235, Columbus Afb, MS 39710 | 2006-03-24 |
| 1396713194 | Kirk Tracy Moss | Family Medicine | 14th Mdg, 201 Independence Dr, Columbus Afb, MS 39710 | 2006-03-09 |
| 1659367266 | Paul H Nelson | Family Medicine | 201 Independence Dr, 14th Medical Group Ste 235, Columbus Afb, MS 39710 | 2005-09-20 |
| 1467447201 | James Henry Heriot | Internal Medicine | 201 Independence Drive, 14th Medical Group/sgoq, Columbus Afb, MS 39710 | 2005-09-19 |
| 1699372938 | Stacie Lynn Penkova | Pharmacist | 14th Medical Group, 201 Independence Drive, Columbus Afb, MS 39710 | 2020-10-08 |
| 1558740019 | William Jennings Amador | Family Medicine | 201 Independence Drive, 14th Medical Group, Columbus Afb, MS 39710 | 2015-05-29 |
| 1225457534 | Kenneth Richard Taylor | Preventive Medicine | 14th Medical Group, 201 Independence Drive, Columbus Afb, MS 39710 | 2014-04-15 |
| 1437414281 | Valerie Ayana Brennan | Social Worker | 14th Medical Group, 201 Independence Drive, Columbus, MS 39710 | 2012-07-09 |
| 1477845261 | Richard Joseph Levitre | Psychiatry & Neurology | 14th Medical Group 201 Independence Drive, Columbus, MS 39710 | 2011-05-11 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023577319 | Shilpa Sridhar | Internal Medicine | 720 W 3rd Ave Apt 335, Columbus, OH 43212-3162 | 2019-03-15 |
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1174051809 | Melissa Christine Kander | Internal Medicine | 4830 Knightsbridge Blvd Ste A, Columbus, OH 43214-2300 | 2017-05-25 |
| 1831623115 | Sumiya Ahmed | Internal Medicine | 23203 Columbus Rd Ste I, Columbus, NJ 08022-1985 | 2017-04-13 |
| 1699209023 | Karenpreet Brar | Internal Medicine | 4310 Clime Rd Ste A, Columbus, OH 43228-3496 | 2017-04-12 |
| 1194173864 | Nishant Dagli | Internal Medicine | 50 N Wilson Rd, Columbus, OH 43204-1214 | 2016-06-02 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1013379080 | Melissa Lau | Internal Medicine | 395 W 12th Avenue, Third Floor, Columbus, OH 43210-1240 | 2016-03-28 |
| 1285096453 | Katherine Frances Ernst | Internal Medicine | 1405 S High St, Osu/nch Internal Medicine-pediatric Residency Program, Columbus, OH 43207-1043 | 2016-03-25 |
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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.