JE SONG M.D. NPI 1568509099

NPI Information

NPI: 1568509099
Provider Name: JE SONG, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
19424 SAUCIER LIZANA RD
SAUCIER, MS
ZIP 39574
Phone: (228) 206-2681
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Je Song, M.D. is a general practice in Saucier, MS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Je Song, M.D. NPI is 1568509099. 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:

19424 SAUCIER LIZANA RD
SAUCIER, MS
ZIP 39574-667
Phone: (228) 206-2681

The enumeration date for this NPI number is 2/1/2007 and was last updated on 1/19/2011.

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	207P00000X	Emergency Medicine		17284	MISSISSIPPI	No
2	207ZP0105X	Pathology	Clinical Pathology/Laboratory Medicine	17284	MISSISSIPPI	No
3	208600000X	Surgery		17284	MISSISSIPPI	No
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		17284	MISSISSIPPI	No
5	208D00000X	General Practice		17284	MISSISSIPPI	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
1	02000514	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
2	04906363	MEDICAID	MISSISSIPPI
3	H47761	MEDICARE UPIN

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: 5/5/2024

NPI Synchronization or Removal

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