ROBERT SOPKO (NPI# 1598791394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598791394 |
| Entity Type | Individual |
| Full Name | ROBERT SOPKO |
| Credential | M.D. |
| Practice Address |
103 Landmark Dr Suite 100 Bellevue KY 41073-1393 |
| Mailing Address |
334 Thomas More Pkwy Suite 200 Crestview Hills KY 41017-3464 |
| Practice Telephone | 8594310090 |
| Practice Fax Number | 8594313168 |
| Mailing Telephone | 8599571080 |
| Mailing Fax Number | 8599571085 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18590 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | P00856636 | 01 |
| KY | RAILROAD MEDICARE | 080092519 | 01 |
| OH | 0993466 | 05 | |
| KY | 64185903 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073689543 | Robert P Sopko | Dentist | 4601 Lake Boone Trail, Suite 2a, Raleigh, NC 27607 | 2006-11-28 |
| Street Address |
103 LANDMARK DR SUITE 100 |
| City | BELLEVUE |
| State | KY |
| Zip Code | 41073-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471058 | Carol Roark | Pediatrics | 103 Landmark Dr, Ll2, Bellevue, KY 41073-1393 | 2005-07-18 |
| 1033756689 | Alicia J Obringer | Dietitian, Registered | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2019-12-03 |
| 1215468947 | Allyson Lilburn | Social Worker | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2017-03-24 |
| 1912440280 | Christy Renee Bowling | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-11-18 |
| 1861854648 | Amy N Reusch | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-03-22 |
| 1487056974 | Catherine Nicole Ellis | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2014-09-16 |
| 1659711851 | Olivia Mae Faulkner Estes | Dentist | 103 Landmark Dr, Bellevue, KY 41073 | 2013-07-02 |
| 1124468707 | Michelle Watters | Pharmacist | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2013-06-27 |
| 1043657489 | Harold T. Pretorius, M.d. | Internal Medicine | 103 Landmark Dr, Suite 365, Bellevue, KY 41073-1393 | 2013-05-24 |
| 1083974737 | Dawn Marie Mbomyo | Social Worker | 103 Landmark Dr, Suite 380, Bellevue, KY 41073-1393 | 2012-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467618462 | Violet Marie Lichtenstein | Registered Nurse | 103 Landmark Drive, Bellevue La Health Care, Bellevue, KY 41073 | 2008-07-30 |
| 1033314554 | Healing Tables Ltd Co | Contractor | 405 Fairfield Ave, Bellevue, KY 41073 | 2007-06-15 |
| 1548391428 | Dana Porterfield | Physical Therapist | 103 Landmark Dr Lower Level, Patient First Pt, Bellevue, KY 41073 | 2007-03-09 |
| 1760527105 | Melissa Rose Sandoval | Social Worker | 103 Landmark Drive Ste 300, Department of Veteran's Affairs, Bellevue, KY 41073 | 2007-02-21 |
| 1619900784 | Mary D Huhn | Social Worker | 227 Fairfield Ave, 2nd Floor, Bellevue, KY 41073 | 2006-07-09 |
| 1972169746 | Christopher James Kersting | Nurse Practitioner | 53 Donnermeyer Dr, Bellevue, KY 41073 | 2019-05-16 |
| 1740627124 | Jeffery Braden Blankenship | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2013-05-27 |
| 1437404431 | Jennifer Amy Adams | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2012-07-17 |
| 1861439937 | Michael Grainger | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| 1497792584 | Jeremy D Engel | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| Find all providers in zip 41073 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563089 | Highland Middle School Health Center | Family Medicine | 11650 Se 60th St, Bellevue, WA 98006-3702 | 2019-08-14 |
| 1497136121 | Shaista Zaman | Family Medicine | 1600 116th Ave Ne Ste 102, Bellevue, WA 98004-3099 | 2015-06-18 |
| 1457762296 | Nafiseh Sadat Haghgoo | Family Medicine | 400-108th Aven Ne, Bellevue, WA 98004 | 2014-05-14 |
| 1154768802 | Sowmya Amin | Family Medicine | 619 156th Ave Se, Bellevue, WA 98007 | 2013-06-03 |
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1144564097 | Fred W Reebs | Family Medicine | 102 Cascade Ky, Bellevue, WA 98006-1004 | 2012-11-15 |
| 1225387335 | Accelecare Wound Professionals of South Carolina, PC | Family Medicine | 10900 Ne 4th Street Suite 1900, Bellevue, WA 98004 | 2012-09-05 |
| 1003180308 | Steven Yee | Family Medicine | 14505 Bel Red Rd, 100, Bellevue, WA 98007-3936 | 2012-03-05 |
| 1265716799 | Healthmax Incorporated | Family Medicine | 320 106th Ave Ne, Suite A, Bellevue, WA 98004-5791 | 2011-10-03 |
| 1548561954 | Martin E. Hanson | Family Medicine | 9011 Lake Washington Blvd Ne, Bellevue, WA 98004-4826 | 2010-11-16 |
| Find all providers in BELLEVUE | ||||
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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.