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DR. EVAN ANDREW SODERSTROM M.D. NPI 1205800430


NPI Information

NPI: 1205800430
Provider Name: DR. EVAN ANDREW SODERSTROM, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Organization: MILFORD REGIONAL PHYSICIAN GROUP, INC.

PECOS Registration: Yes

Address:
14 PROSPECT ST
MILFORD, MA
ZIP 01757
Phone: (508) 422-2305
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DR. Evan Andrew Soderstrom, M.D. is a hospitalist in Milford, MA with 23 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Evan Andrew Soderstrom, M.D. NPI is 1205800430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

14 PROSPECT ST
MILFORD, MA
ZIP 01757-003
Phone: (508) 422-2305

The NPI 1205800430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 4/9/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208M00000XHospitalist238963MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I09260MEDICARE UPINOREGON
2119671MEDICARE ID-TYPE UNSPECIFIEDOREGON
3022522MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.