Active NPI
Shawn Song, M.D.
- Spinal Cord Injury Medicine Physician
- Seattle, WA
National Provider Identifier
1639496078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Spinal Cord Injury Medicine Physician
- License
- MD60548161
- Practice address
- University of Washington Dept of Rehab
Box 356490
Seattle, WA 98195-0001 - Phone
- (206) 685-0936
- Fax
- (206) 616-3908
- NPI assigned
- Apr 26, 2010
- Last updated
- Feb 19, 2016
- 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 |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | MD60548161 | WA | Primary |
Addresses
Primary practice location
University of Washington Dept of Rehab
Box 356490
Seattle, WA 98195-0001
Mailing address
1660 S Columbian Way
Box 356490
Seattle, WA 98108-1532
Phone (206) 764-2350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160226001088 | WA | Order and Referring Only - Physical Medicine and Rehabilitation | 6800191941 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60548161 | WA | MD | Spinal Cord Injury Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455840000000",
"number": "1639496078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 S COLUMBIAN WAY",
"address_2": "BOX 356490",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981081532",
"telephone_number": "206-764-2350",
"fax_number": "206-764-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF WASHINGTON DEPT OF REHAB",
"address_2": "BOX 356490",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-685-0936",
"fax_number": "206-616-3908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "SHAWN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2016-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "WA",
"license": "MD60548161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.