Jack Soong, M.D

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D0045934 Issued in MD

Practice address

9100 Franklin Square Dr
Rosedale, MD 21237-3903

Phone

(410) 887-0213

Fax

(410) 887-0265

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baltimore County Department of Health

  • Public Health or Welfare Agency
  • Rosedale, MD
  • NPI 1245385434
  NPD (past)
• Saint Joseph Medical Center , Inc.

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1699862961
  NPD (past)
• Union Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Baltimore, MD
  • NPI 1336163781
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346337938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 WOOD GLENN CT",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937005",
            "telephone_number": "410-560-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 FRANKLIN SQUARE DR",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373903",
            "telephone_number": "410-887-0213",
            "fax_number": "410-887-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOONG",
        "first_name": "JACK",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0045934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keli S. Smith, LCPC
• Regina Celeste Smith, LGSW
• Christina Faith Snurr
• Samantha Snyder
• Ana Solis, LGPC
• Alena M Southwick, LSW, MSW
• Kayla Bosin Speigel, LMSW
• Ashley Rebecca Spittel, LGSW
• George Robert Squier
• Adrian Lee Stackhouse

• Obstetrics & Gynecology Physician in Rosedale, MD
• Providers in Rosedale, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.