Healthcare Provider Details

I. General information

NPI: 1467561548
Provider Name (Legal Business Name): JOHN M SOJKA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD, MS 3017 ORTHOPEDIC SURGERY
KANSAS CITY KS
66160
US

IV. Provider business mailing address

3901 RAINBOW BLVD 4070 DELP, MS 4017
KANSAS CITY KS
66160-7816
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6100
  • Fax:
Mailing address:
  • Phone: 913-588-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number04-30753
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number04-30753
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: