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SHANE M SOPP MD
NPI 1497741243
Obstetrics & Gynecology - Gynecology in Syracuse, NY

Active since September 26, 2005
4900 BROAD RD, CGH POB SUITE 2V, SYRACUSE, NY 13215(315) 492-5005(315) 492-5324 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane M Sopp Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE M SOPP MD (NPI 1497741243) is an individual gynecology provider in Syracuse, New York, licensed in New York (141803) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1497741243
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameSHANE M SOPPCredential: MD
Location Address4900 BROAD RD, CGH POB SUITE 2VSyracuse, NY 13215-2265
Mailing AddressPo Box 2003East Syracuse, NY 13057-4503 · (315) 446-3904 · Fax (315) 445-2936
Phone(315) 492-5005
Fax(315) 492-5324
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJune 18, 2012
✔ NPI 1497741243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NY · 141803
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
4900 BROAD RD, Syracuse, NY 13215
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Other Identifiers 2

Medicare UPINB82144
Medicare PIN160044866

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IANNA JAVIER GARCIA OTR/L
Occupational Therapist
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5011
ROBERT A WORDEN CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5522
HEIDI GLOVACK CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5553
JOHN F MURPHY CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 470-7828
MS. TERRY LEE WHITE RN FNP
Nurse Practitioner (Family)
4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215
Onondaga County (315) 492-5784
MS. SIGRID A. MARFO CRNA
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 492-5522
SURJIT K DHAMOON MD PC
Psychiatry & Neurology (Neurology)
4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215
Onondaga County (315) 492-5841
MR. R. THOMAS WEINHEIMER P.A.
Physician Assistant
4900 BROAD RD
SYRACUSE, NY 13215
Onondaga County (315) 251-3100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Sopp's NPI number?

The NPI number for Shane Sopp is 1497741243. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Shane Sopp located?

Shane Sopp practices at 4900 Broad Rd Cgh Pob Suite 2V, Syracuse, NY 13215. The listed phone number is (315) 492-5005.

What is Shane Sopp's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Shane Sopp was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.