Yong D Song MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

36581 Issued in OH

Legal business name

YONG D SONG MD INC

Practice address

1611 27TH St
Building J Suite 204
Portsmouth, OH 45662

Phone

(740) 353-3196

Fax

(740) 353-1258

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lucia M Song

Title

Office Manager

Phone

(740) 353-3196

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elisa Nicole Lang, PA-C

  • Physician Assistant
  • Waverly, OH
  • NPI 1750631156
  NPD (past)
• Yong Duck Song, MD

  • Obstetrics & Gynecology Physician
  • Portsmouth, OH
  • NPI 1861470460
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1154475135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 27TH ST",
            "address_2": "BUILDING J SUITE 204",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-353-3196",
            "fax_number": "740-353-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 27TH ST",
            "address_2": "BUILDING J SUITE 204",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "45662",
            "telephone_number": "740-353-3196",
            "fax_number": "740-353-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG D SONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-353-3196",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "36581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KMA",
            "identifier": "64735285",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makaylia Dawn Wright
• Wurster Drugs, Inc.
• Marc Stanton Wyatt
• Evan D Yates, PA-C
• Amanda Yerardi
• Erin York
• Kevin Yost
• Diana Elaine Young, CNP
• Heath M Young, CDCA
• Joseph Young, COUNSELOR

• Obstetrics & Gynecology Physician in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.