Provider Demographics
NPI:1235163676
Name:SOKOL, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SOKOL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 WEST 119TH ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-3749
Mailing Address - Country:US
Mailing Address - Phone:913-345-8500
Mailing Address - Fax:913-345-3784
Practice Address - Street 1:5701 W 119TH ST
Practice Address - Street 2:SUITE 240
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3722
Practice Address - Country:US
Practice Address - Phone:913-345-8500
Practice Address - Fax:913-345-3784
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS424836207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1131345OtherUNITED HEALTHCARE
KS2117105OtherAETNA
KS100149810AMedicaid
MO20039015OtherBLUE CROSS BLUE SHIELD
GA110072911OtherRAILROAD MEDICARE
MO206809303Medicaid
MO206809303Medicaid
KS100149810AMedicaid