Active NPI
Won G Song, MD
- Orthopaedic Surgery Physician
- Columbus, OH
National Provider Identifier
1598779993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- SO0427842
- Practice address
- 1430 South High Street
Columbus, OH 43207 - Phone
- (614) 443-0583
- Fax
- (614) 443-2528
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | SO0427842 | OH | Primary |
Addresses
Primary practice location
1430 South High Street
Columbus, OH 43207
Mailing address
1430 South High Street
Columbus, OH 43207
Phone (614) 443-0583
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31-1021393-00 | Other | FEDERAL TAX ID# WITH BWC | |
| 0344685 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SO0427842 | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Health Urgent Care, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Urgent Care Plus
- Urgent Care Clinic/Center
- Columbus, OH
- NPI 1902932098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598779993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 SOUTH HIGH STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43207",
"telephone_number": "614-443-0583",
"fax_number": "614-443-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 SOUTH HIGH STREET",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43207",
"telephone_number": "614-443-0583",
"fax_number": "614-443-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "WON",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "SO0427842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID# WITH BWC",
"identifier": "31-1021393-00",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0344685",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- 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.