Provider Demographics
NPI:1295730588
Name:SORGER, JOEL I (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:I
Last Name:SORGER
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 1:6480 HARRISON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-7961
Mailing Address - Country:US
Mailing Address - Phone:513-354-7785
Mailing Address - Fax:513-354-7651
Practice Address - Street 1:463 OHIO PIKE STE 201
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-3744
Practice Address - Country:US
Practice Address - Phone:513-354-3700
Practice Address - Fax:513-528-1209
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY35293207X00000X
OH35-06-4933-S207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH021671OtherMEDICARE
OH0915362Medicaid
OH000000382637OtherANTHEM
OH0903538OtherUNITED HEALTHCARE
OH0915362Medicaid
OHSO0875435Medicare PIN
OH3320453OtherCIGNA
OHG93320Medicare UPIN