Song Professional Services , PLLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

SONG PROFESSIONAL SERVICES , PLLC

Practice address

9811 W Charleston Blvd # 2-641
Las Vegas, NV 89117-7528

Phone

(800) 310-7334

NPI assigned

Nov 5, 2018

Organization subpart

No

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

Authorized official

Name

Michael H Song, MDNPI 1124067491

Title

Sole Member

Phone

(448) 868-1971

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nevada Neuromonitoring Services Doing business as

Locations

Practitioners 1

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

• Michael H Song, M.D.

  • Neurological Surgery Physician
  • Reno, NV
  • NPI 1124067491
  NPD Authorized official

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1447728720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 29650 DPT: 880423",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "844-868-1971",
            "fax_number": "469-453-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD # 2-641",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "800-310-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG PROFESSIONAL SERVICES , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "448-868-1971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LICENSE",
            "identifier": "10771",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Neuromonitoring Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karisa Kyueun Son, AGPCNP-C
• Paul Son, M.D.
• Sneh Jaysukhbhai Sonaiya, MD
• Logan Cole Sondrup, M.D.
• Sonflower Day Program LLC
• Alexander Song, MD
• Angel Song
• Jaemin Song, MD
• Jianhua Song
• Jongsook Song

• Electrodiagnostic Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Electrodiagnostic Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.