SHANE M SOPP, MD PC
NPI 1952397705
Obstetrics & Gynecology - Gynecology in Syracuse, NY

Q: What is Shane M Sopp, MD PC's NPI number?

The NPI number for Shane M Sopp, MD PC is 1952397705. It was assigned to this organization in the NPPES registry on September 26, 2005.

Q: What is Shane M Sopp, MD PC's specialty?

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

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: February 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shane M Sopp, Md Pc NPPES

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

SHANE M SOPP, MD PC (NPI 1952397705) is a healthcare organization registered as a gynecology in Syracuse, New York and active in the NPI registry since September 2005. The organization lists Shane M Sopp, Owner, as its authorized official.

NPPES Registry Identity

NPI1952397705

Entity TypeOrganization

Primary Taxonomy207VG0400X

Legal Business NameSHANE M SOPP, MD PC

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

Organization SubpartNo

Authorized OfficialShane M SoppOwner · (315) 492-5005

Enumeration DateSeptember 26, 2005

Last NPPES UpdateFebruary 7, 2008

✔ NPI 1952397705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

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 3

Medicare PINCJ2478

Medicaid01992896NY

Medicare ID-Type UnspecifiedAA0294

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 M Sopp, MD PC's NPI number?

The NPI number for Shane M Sopp, MD PC is 1952397705. It was assigned to this organization in the NPPES registry on September 26, 2005.

Where is Shane M Sopp, MD PC located?

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

What is Shane M Sopp, MD PC'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 M Sopp, MD PC was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.