Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane M Sopp, MD

Individual provider Gynecology Physician · NPI 1497741243

Shane M Sopp, MD is a Gynecology Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4900 Broad Rd Cgh Pob Ste 2V
Syracuse, NY 13215-2265
Phone: (315) 492-5005
Fax: (315) 492-5324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 141803 (NY)

Record details

NPI number1497741243
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2005
Last updated in NPPESJune 18, 2012
Mailing addressPo Box 2003, East Syracuse, NY 13057-4503

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