MEDICARE: SOAR MEDICAL SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	208000000X	Pediatrics Physician
2	225X00000X	Occupational Therapist
3	235Z00000X	Speech-Language Pathologist
4	2080P0006X	Developmental - Behavioral Pediatrics Physician

General Provider Information

NPI Number	:	1043141039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOAR MEDICAL SERVICES PLLC

Provider Business Mailing Address
First Line	:	3401 QUEBEC ST STE 110
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-2322
Country	:	US
Telephone Number	:	720-706-3396
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 INVENTA PL STE 200W
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-5171
Country	:	US
Telephone Number	:	720-706-3396
Fax Number	:

Authorized Official
Title or Position	:	CHIEF ADMINISTRATION OFFICER
Name	:	IAN GOLDSTEIN
Credential	:	MD
Telephone Number	:	720-706-3396

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “SOAR MEDICAL SERVICES PLLC ” Practice Location

Language	Start Address	Practice Location

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