Yo-Jun Song, MD, PHD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

26309 Issued in CO

Practice address

1801 16TH St
Greeley, CO 80631-5154

Phone

(970) 352-4121

NPI assigned

May 17, 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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Intermountain Anesthesia Professional Consultants, LLP

  • Interventional Pain Medicine Physician
  • Greeley, CO
  • NPI 1891793022

  Anesthesiology

  NPD (past)
• Portland Anesthesia Specialists LLC

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1578877387
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1982657540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 W 24TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806348946",
            "telephone_number": "970-330-9522",
            "fax_number": "970-330-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315154",
            "telephone_number": "970-352-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "YO-JUN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "26309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01263094",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole R Solecki, D.C.
• Francisco J Solis, INTERN
• Melody Crystal Solis
• Sondra Raner Counseling Services, LLC
• Ann Z Song, M.D.
• Erik Raymond Sorbo, D.C.
• Patricia Joan Sorbo, D.C.
• Christa Rae Sorensen
• Araceli Sosa
• Keila Esthefany Sotelo- Castillo

• Anesthesiology Physician in Greeley, CO
• Providers in Greeley, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.