DR. JIANMING SONG M.D. NPI 1073702817

NPI Information

NPI: 1073702817
Provider Name: DR. JIANMING SONG, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: BEEZLEY SPRINGS INPATIENT SERVICES LLC

PECOS Registration: Yes

Address:
3927 RUCKER AVE
EVERETT, WA
ZIP 98201
Phone: (425) 339-5422
Get Directions

DR. Jianming Song, M.D. is a family medicine in Everett, WA with 32 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jianming Song, M.D. NPI is 1073702817. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3927 RUCKER AVE
EVERETT, WA
ZIP 98201-833
Phone: (425) 339-5422
Fax: (423) 339-5444

The NPI 1073702817 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2007 and was last updated on 12/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD27877	OREGON	No
2	207Q00000X	Family Medicine		MD60627719	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	276263	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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