DR. MIN SOO SONG (NPI# 1053575340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053575340 |
| Entity Type | Individual |
| Full Name | DR. MIN SOO SONG |
| Credential | MD.,CM |
| Practice Address |
105 Erdman Way Leominster MA 01453-1805 |
| Practice Telephone | 9784667800 |
| Practice Fax Number | 9784669333 |
| Mailing Telephone | 9784667800 |
| Mailing Fax Number | 9784669333 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2015-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
239085 | MA | Allopathic & Osteopathic Physicians |
| N | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
248069 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | RAILROAD MEDICARE | 001093301 | 01 |
| NH | NH MEDICAID | 30208701 | 01 |
| MA | TUFTS | 498955 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0442974 | 01 |
| MA | HARVARD PILGRIM HEALTH CARE | AA146200 | 01 |
| MA | AETNA HMO | 1053575340 | 01 |
| MA | EVERCARE | 1053575340 | 01 |
| MA | NETWORK HEALTH | 951278-01 | 01 |
| MA | AETNA NON HMO | 98493515 | 01 |
| MA | HMO BLUE | 1053575340 | 01 |
| MA | BCBS OF MASSACHUSETTS | 1053575340 | 01 |
| MA | FALLON COMMUNITY HEALTH CARE | 1053575340 | 01 |
| MA | 110082569A | 05 | |
| MA | CIGNA HEALTH CARE | 3523061 | 01 |
| Street Address |
105 ERDMAN WAY |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578552022 | Manucher Fardi | Pathology | 105 Erdman Way, Leominster, MA 01453-1805 | 2005-10-18 |
| 1730695172 | Center for Digestive Wellness PC | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2017-12-21 |
| 1346679867 | Center for Digestive Wellness PC | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-11-05 |
| 1811230410 | Elliot J Feinberg Md | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-04-02 |
| 1801137492 | North Worcester Gastroenterology PC | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-03-07 |
| 1225378383 | Elliot J Feinberg Md | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-02-26 |
| 1982961066 | Athanasios Desalermos | Internal Medicine | 105 Erdman Way, Leominster, MA 01453 | 2012-04-13 |
| 1245567049 | North Worcester Gastroenterology, P.C. | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2009-11-16 |
| 1861626392 | Wankin J Yu Md | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2009-05-12 |
| 1720247653 | Maria Lonshteyn | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730695172 | Center for Digestive Wellness PC | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2017-12-21 |
| 1346679867 | Center for Digestive Wellness PC | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-11-05 |
| 1811230410 | Elliot J Feinberg Md | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-04-02 |
| 1801137492 | North Worcester Gastroenterology PC | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-03-07 |
| 1225378383 | Elliot J Feinberg Md | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-02-26 |
| 1982961066 | Athanasios Desalermos | Internal Medicine | 105 Erdman Way, Leominster, MA 01453 | 2012-04-13 |
| 1245567049 | North Worcester Gastroenterology, P.C. | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2009-11-16 |
| 1861626392 | Wankin J Yu Md | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2009-05-12 |
| 1144408212 | Curewell Gastroenterology, PC | Internal Medicine | 50 Memorial Dr, Suite 114, Leominster, MA 01453-2238 | 2008-01-31 |
| 1316072283 | Coordinated Primary Care | Internal Medicine | 50 Memorial Dr, Suite 114, Leominster, MA 01453-2238 | 2007-02-22 |
| Find all providers in LEOMINSTER | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.