Active NPI
Matthew Newberg Songer, MD
- Specialist
- Marquette, MI
National Provider Identifier
1871504357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 4301053852
- Practice address
- 1414 W Fair Ave
Suite 190
Marquette, MI 49855-2675 - Phone
- (906) 225-1321
- Fax
- (906) 228-9371
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 4301053852 | MI | Primary |
Addresses
Primary practice location
1414 W Fair Ave
Suite 190
Marquette, MI 49855-2675
Mailing address
1414 W Fair Ave
Suite 190
Marquette, MI 49855-2675
Phone (906) 225-1321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0E26013 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 1949444 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1871504357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE",
"address_2": "SUITE 190",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552675",
"telephone_number": "906-225-1321",
"fax_number": "906-228-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE",
"address_2": "SUITE 190",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552675",
"telephone_number": "906-225-1321",
"fax_number": "906-228-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONGER",
"first_name": "MATTHEW",
"middle_name": "NEWBERG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301053852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "0E26013",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1949444",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marquette, MI
- Tiffany Ann Smith, QIDP, HS-BCP
- Stacey Lynn-Churchill Smyczynski, LMSW
- Donald E Snowdon, M.D.
- Milton D Soderberg, MD
- Solace and Grace Counseling LLC
- Sonnie Gobert Mental Health Therapy Services
- South Shore Anesthesia Staffing
- Nan Spawr-Seaton, C-NP
- Speak Up Online Speech Therapeutics LLC
- Jennifer Jill Spear, BSW CACII
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.