Song OBGYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD00026796 Issued in WA

Legal business name

SONG OBGYN

Practice address

11311 Bridgeport Way SW
#302
Lakewood, WA 98499

Phone

(253) 581-4696

Fax

(253) 581-9001

NPI assigned

Nov 16, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Song, MD

Title

Physician

Phone

(253) 581-4696

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1144393166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "#302",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-581-4696",
            "fax_number": "253-581-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW",
            "address_2": "#302",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98499",
            "telephone_number": "253-581-4696",
            "fax_number": "253-581-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "253-581-4696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00026796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302116",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "50D0866316",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kwon Sohn, NP
• Benjamin Solinger
• Deborah Sommer, BA
• Greer Starr Sommer, BS
• Mary B Sommer, OTR/L,CHT
• Jimin Song
• Joseph Song
• Taiil Ted Song, D.O.
• Sonika Singla, DMD, IV, PLLC
• Amanda L Sorensen, AAS

• Obstetrics & Gynecology Physician in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Obstetrics & Gynecology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.