MEDICARE: DR. SHARON SORENSEN AU.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	00392	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	LO98SW-53066003	OTHER	MD	CAREFIRST MD OFFICE #2
2	9419833	OTHER	MD	PHCS
3	8608484-001	OTHER	MD	CIGNA
4	801591-034954	OTHER	MD	JOHN HOPKINS HEALTH CARE
5	5309254	OTHER	MD	AETNA PPO
6	LO98SW-53066001	OTHER	MH	CAREFIRST MD OFFICE #1
7	221808	OTHER	MD	UNITED HEALTHCARE
8	1320-0001	OTHER	MD	CAREFIRST FEDERAL EMPLOYE
9	3460132	OTHER	MD	AETNA HMO

General Provider Information

NPI Number	:	1780617654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHARON SORENSEN AU.D.

Provider Business Mailing Address
First Line	:	19110 MONTGOMERY VILLAGE AVE
Second Line	:	SUITE 120
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-3702
Country	:	US
Telephone Number	:	301-977-6317
Fax Number	:	301-977-8504

Provider Business Practice Location Address
First Line	:	19110 MONTGOMERY VILLAGE AVE
Second Line	:	SUITE 120
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-3702
Country	:	US
Telephone Number	:	301-977-6317
Fax Number	:	301-977-8504

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

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