CHARLES DANIEL SOOY


Address: 401 Bicentennial Way, Santa Rosa, CA 95403-2149
Phone: 7075714000

CHARLES DANIEL SOOY (NPI# 1881773927) 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) 1881773927
Entity Type Individual
Full Name CHARLES DANIEL SOOY
Credential MD
Practice Address 401 Bicentennial Way
Santa Rosa
CA 95403-2149
Mailing Address 1800 Harrison St Fl 7
Oakland
CA 94612-3429
Practice Telephone 7075714000
Mailing Telephone 5106256262
Enumeration Date 2006-11-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology G38562 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G385620 05

Office Location

Street Address 401 BICENTENNIAL WAY
City SANTA ROSA
State CA
Zip Code 95403-2149

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649276940 Virginia E Hofmann Psychiatry & Neurology 401 Bicentennial Way, Department of Psychiatry, Santa Rosa, CA 95403-2149 2005-06-22
1376142646 Denny Jeb Piolo Sta Ana Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-10-19
1417564915 Nancy Patricia Prussiamerritt Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-09-28
1629682042 Mio John Villagomez Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-09-02
1679181861 Miriam Stone Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-07-14
1902414196 Brenda L Yates Respiratory Therapist, Registered 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-07-14
1215550801 John Callander Student in an Organized Health Care Education/Training Program 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-05-18
1124649074 Gustavo Gabriel Romero Student in an Organized Health Care Education/Training Program 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-05-01
1184244147 Kimberly Hower Student in an Organized Health Care Education/Training Program 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-04-20
1316574452 Constantine Kulkoff Student in an Organized Health Care Education/Training Program 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2020-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912549841 Abundance Acupuncture Healing Clinic Acupuncturist 3410 Mendocino Avenue, Santa Rosa, CA 95403 2019-10-11
1982161337 Crystal J Ward Registered Nurse 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 2019-02-21
1033674379 George Edward Griese Respiratory Therapist, Registered 501 Bicentennial Way, Santa Rosa, CA 95403 2019-01-31
1508320672 East-west Natural Medicine Inc. Acupuncturist 2200 Range Ave #207, Santa Rosa, CA 95403 2019-01-23
1316410640 Lionel C Cooper Counselor 315 Mark West Springs Road, Santa Rosa, CA 95403 2019-01-09
1326519182 Jkb Solutions Inc. In Home Supportive Care 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 2018-12-05
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1447746524 Lisa Jean Quang Optometrist 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 2018-07-02
1598253353 Jennifer Renee Lummus Community Health Worker 3614 Condo Court, Santa Rosa, CA 95403 2018-04-27
1871042366 Sadie Thuet Marriage & Family Therapist 3434 A Mendocino Ave, Santa Rosa, CA 95403 2016-09-26
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477528859 Alexander J Lozano Otolaryngology 2025 Bent Tree Pl, Santa Rosa, CA 95404-1570 2006-02-21
1063486546 Kim Elaine Schmitt Otolaryngology 1701 4th St Ste 120, Santa Rosa, CA 95404 2006-02-14
1205213170 Annick Aubin-pouliot Otolaryngology 1701 4th St Ste 120, Santa Rosa, CA 95404-3661 2015-04-30
1982947404 Elizabeth Debra Cedars Otolaryngology 1701 4th St Ste 120, Santa Rosa, CA 95404 2013-04-03
1760717441 North Coast Faculty Medical Group Inc. Otolaryngology 1144 Sonoma Ave, 101, Santa Rosa, CA 95405-4812 2009-10-13
1023246089 Anton Kushnaryov Otolaryngology 1701 4th St, Ste 120, Santa Rosa, CA 95404-3661 2009-06-30
1225203862 Richard Turley Otolaryngology 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2008-04-24
1699963231 Stephanie Su Huang Otolaryngology 1701 4th St, Ste 120, Santa Rosa, CA 95404-3661 2007-10-09
1346315181 Dr Jeff Broffman A Medical Corp Otolaryngology 1144 Sonoma Ave, #101, Santa Rosa, CA 95405 2006-11-21
1528146008 Edward W. Chang Otolaryngology 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-11-01
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City SANTA ROSA
Zip Code 95403

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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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