DR. MICHAEL LANDRON SOO (NPI# 1710978259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710978259 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LANDRON SOO |
| Credential | M.D. |
| Practice Address |
2609 N Duke St Suite 604 Durham NC 27704-3048 |
| Practice Telephone | 9192201881 |
| Practice Fax Number | 9192201991 |
| Mailing Telephone | 9192201881 |
| Mailing Fax Number | 9192201991 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 34166 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8978444 | 05 | |
| NC | BCBS | 0239F | 01 |
| NC | RAILROAD MEDICARE | 130022134 | 01 |
| NC | ALL OTHERS | 562160642 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275633398 | Michael Alan Soo | Pharmacist | 1109 W Parker Rd, Jonesboro, AR 72404 | 2006-09-25 |
| Street Address |
2609 N DUKE ST SUITE 604 |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124019849 | Kiron Clinical Sleep Lab, LLC | Specialist | 2609 N Duke St, Suite 604, Durham, NC 27704-3048 | 2005-11-02 |
| 1184232852 | Virgina Ward | Nurse Practitioner | 2609 N Duke St, Durham, NC 27704-3048 | 2020-07-20 |
| 1679950877 | Stacey Phillips | Social Worker | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2015-04-27 |
| 1982094637 | Kelsey Daly | Nurse Practitioner | 2609 N Duke St, Suite 204, Durham, NC 27704-3048 | 2015-02-03 |
| 1174950281 | Eileen Gail Williams | Counselor | 2609 N Duke St, Suite 303b, Durham, NC 27704-3048 | 2013-10-03 |
| 1659627271 | Family Preservation Services | Community/Behavioral Health | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2012-08-01 |
| 1578820635 | Audrina Jones Bunton | Counselor | 2609 N Duke St, Suite 504, Durham, NC 27704-3048 | 2012-04-13 |
| 1063784304 | Champion & Champion Pa Inc | Psychologist | 2609 N Duke St, 602, Durham, NC 27704-3048 | 2012-02-02 |
| 1942578554 | Premiere Health and Wellness Medical Center | Pediatrics | 2609 N Duke St, Suite 403, Durham, NC 27704-3048 | 2011-12-09 |
| 1952635161 | Jennifer Stasko | Physical Therapist | 2609 N Duke St, Suite 203, Durham, NC 27704-3048 | 2009-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989812 | Ryan Graham | Specialist | 405 Avett Dr, Durham, NC 27703-8291 | 2020-07-14 |
| 1083236996 | Latisha Isheema Buchanan | Specialist | 3215 Guess Rd Ste 101, Durham, NC 27705-2668 | 2020-05-13 |
| 1629549647 | Lashone M Blue | Specialist | 3315 Guess Rd Unit 9, Durham, NC 27705-6907 | 2018-12-17 |
| 1013443324 | Chakib Maurice Ayoub | Specialist | 3611 University Dr, Apt#06e, Durham, NC 27707-6209 | 2017-05-05 |
| 1194178855 | Shimin Jasmine Chung | Specialist | 2616 Erwin Rd Apt 2531, Durham, NC 27705-3895 | 2016-07-18 |
| 1669896858 | Ted Mulligan | Specialist | 4 Rocky Ln, Durham, NH 03824-1947 | 2014-02-10 |
| 1497017537 | North Carolina Center for Physical Therapy | Specialist | 5832 Fayetteville Road, Suite 106, Durham, NC 27713-6290 | 2012-06-14 |
| 1295006450 | Wayne Matthew Dankner | Specialist | 2520 Meridian Pkwy, Durham, NC 27713-4202 | 2012-01-19 |
| 1417266628 | Sharon M Fisher | Specialist | 2562 Durham Dayton Hwy, Apt A, Durham, CA 95938-9654 | 2010-10-05 |
| 1497088538 | Latosha Ward | Specialist | M04 Davison Bldg, Durham, NC 27710-0833 | 2009-09-08 |
| Find all providers in DURHAM | ||||
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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.