Anthony B Songco, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301045431 Issued in MI

Practice address

4031 S Custer Rd
Monroe, MI 48161-9775

Phone

(734) 241-2362

Fax

(734) 777-9065

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Promedica Central Corporation of Michigan

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1588624696
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1962597906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619775",
            "telephone_number": "734-241-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619775",
            "telephone_number": "734-241-2362",
            "fax_number": "734-777-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGCO",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301045431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1621287",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A Snider, M.D.
• Jared Snoke, MD
• Karla Rishelle Snyder-Barker, LMSW
• Sobaks Home Medical Inc.
• George Beniamin Socaciu, DO
• Mohamed Amjad Soofi, M.D.
• Erica Sottile, CRNA
• Soudabeh Ahadi MD PC
• Southeast Harbor Inc
• Chelia Minon Spencer, PTA

• Family Medicine Physician in Monroe, MI
• Providers in Monroe, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.