Active NPI
Wendy Song, DO
- Family Medicine Physician
- San Tan Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 006834
- Practice address
- 2474 E Hunt Hwy
Suite 10
San Tan Valley, AZ 85143-5210 - Phone
- (480) 543-6680
- Fax
- (480) 543-5908
- NPI assigned
- Jun 28, 2013
- Last updated
- Jul 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 006834 | AZ | Primary |
Addresses
Primary practice location
2474 E Hunt Hwy
Suite 10
San Tan Valley, AZ 85143-5210
Mailing address
2474 E Hunt Hwy
Suite 10
San Tan Valley, AZ 85143-5210
Phone (480) 543-6680
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | CMS HIH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NE, IN, MO, MI, WA, MT, CT, MN, CO, OK, NJ, IL, WV, KY, IA, LA, VT, AL, TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 21
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Nova Southeastern College of Osteo Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Town Square PL
Suite 1201
Jersey City, NJ 07310-1724
Phone (201) 283-8515
120 19TH St N
Birmingham, AL 35203-3155
Phone (201) 283-8515
1201 Liberty Pike
Suite 299
Franklin, TN 37067-5604
Phone (201) 283-8515
1375 Maple Tree PL
Suite 1103
Williston, VT 05495-8210
Phone (240) 693-3281
1500 Southland Cir NW
Suite H
Atlanta, GA 30318-3669
Phone (201) 283-8515
2025 N 3Rd St
Suite B300
Phoenix, AZ 85004-1486
Phone (240) 693-3281
2057 Green Bay Rd
Suite 1001
Highland Park, IL 60035-6101
Phone (240) 693-3281
2431 Wiley Blvd SW
Suite 1006
Cedar Rapids, IA 52404-6003
Phone (240) 693-3281
2590 Welton St
Suite 200
Denver, CO 80205-4268
Phone (201) 283-8515
333 Washington Ave N
Suite 3009036
Minneapolis, MN 55401-2263
Phone (240) 693-3281
3558 Jefferson St N
Suite 5
Lewisburg, WV 24901-5730
Phone (240) 693-3281
401 Pine St
Suite 4025
Saint Louis, MO 63102-2731
Phone (240) 693-3281
4025 Emerald Dr
Stevensville, MT 59870-6476
Phone (240) 693-3281
455 E Eisenhower Pkwy
Suite 300
Ann Arbor, MI 48108-3324
Phone (240) 693-3281
629 W Main St
Suite 1065
Oklahoma City, OK 73102-2221
Phone (240) 693-3281
6311 Ames Ave
Suite 1234
Omaha, NE 68104-2027
Phone (240) 693-3281
7301 Fegenbush LN
Suite 201
Louisville, KY 40228-1509
Phone (240) 693-3281
900 Camp St
New Orleans, LA 70130-3971
Phone (240) 693-3281
9030 35TH Ave SW
Suite 100 1017
Seattle, WA 98126-3821
Phone (240) 693-3281
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006834 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clove LLC | Family Medicine | Current | Accepting new patients |
| Grayhawk Family Practice PC | Family Medicine | Past | Accepting new patients |
| Banner -- University Primary Care Physicians LLC | Past | Accepting new patients | |
| Solace Health Medical Group KS PA | Family Medicine | Past | Accepting new patients |
| Banner Primary Care Physicians Arizona LLC | Past | Accepting new patients |
Locations
10051 E Dynamite Blvd
Ste 110
Scottsdale, AZ 85262
Phone (480) 473-7003
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Family Medicine) Physician
- Redwood City, CA
- NPI 1801669924
AL, AZ, CO, GA, IA, IL, IN, KY, LA, MI, MN, MO, MT, NE, NJ, OK, TN, VT, WA, WV
-
- Primary Care Clinic/Center
- Payson, AZ
- NPI 1154791960
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1417238908
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1083700876
-
- Family Medicine Physician
- Topeka, KS
- NPI 1255246385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1144660671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2474 E HUNT HWY",
"address_2": "SUITE 10",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435210",
"telephone_number": "480-543-6680",
"fax_number": "480-543-5908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2474 E HUNT HWY",
"address_2": "SUITE 10",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435210",
"telephone_number": "480-543-6680",
"fax_number": "480-543-5908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "WENDY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "006834",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "CMS HIH",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "7500 Security Blvd",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212441849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.