Organization Active NPI

James Y Song MD PHD PS

  • Specialist
  • Bellevue, WA
National Provider Identifier
1366645517
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00038370 Issued in WA
Legal business name
JAMES Y SONG MD PHD PS
Practice address
1600 116TH Ave NE Ste 302
Bellevue, WA 98004-3057
Phone
(425) 899-6226
Fax
(425) 899-6220
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
James Y. Song, MD
Title
Physician
Phone
(425) 899-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00038370 WA Primary

Addresses

Primary practice location

1600 116TH Ave NE Ste 302
Bellevue, WA 98004-3057

Mailing address

1600 116TH Ave NE Ste 302
Bellevue, WA 98004-3057
Phone (425) 899-6226

Other identifiers 1

IdentifierTypeStateIssuer
G8865420OtherWAMEDICARE LEGACY NUMBER

National Provider Directory

National Provider Directory

Locations

13107 121st Way NE
Kirkland, WA 98034
Phone (425) 505-2200

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1366645517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE STE 302",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043057",
            "telephone_number": "425-899-6226",
            "fax_number": "425-899-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 116TH AVE NE STE 302",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043057",
            "telephone_number": "425-899-6226",
            "fax_number": "425-899-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES Y SONG MD PHD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "425-899-6226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00038370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY NUMBER",
            "identifier": "G8865420",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.