WENDY SONG (NPI# 1144660671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144660671 |
| Entity Type | Individual |
| Full Name | WENDY SONG |
| Credential | DO |
| Practice Address |
2474 E Hunt Hwy Suite 10 San Tan Valley AZ 85143-5210 |
| Practice Telephone | 4805436680 |
| Practice Fax Number | 4805435908 |
| Mailing Telephone | 4805436680 |
| Mailing Fax Number | 4805435908 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2017-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 006834 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730671215 | Wendy Song | Dentist | 1801 E Franklin St, Chapel Hill, NC 27514-5855 | 2018-05-31 |
| Street Address |
2474 E HUNT HWY SUITE 10 |
| City | SAN TAN VALLEY |
| State | AZ |
| Zip Code | 85143-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093259301 | Empact - Suicide Prevention Center | Community/Behavioral Health | 2474 E Hunt Hwy, #100, San Tan Valley, AZ 85143-5210 | 2016-12-06 |
| 1659640902 | Banner Primary Care Physicians Arizona LLC | Clinic/Center | 2474 E Hunt Hwy, Suite 10, San Tan Valley, AZ 85143-5210 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619457785 | Shalom Behavioral Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35301 N Belgian Blue Ct, San Tan Valley, AZ 85143 | 2018-08-18 |
| 1336662337 | House of Dignity Assisted Living LLC | Assisted Living Facility | 214 W Danish Red Trl, San Tan Valley, AZ 85143 | 2017-07-21 |
| 1942744081 | Arizona Dental Professionals, PC | Dentist | 545 E Hunt Hwy, San Tan Valley, AZ 85143 | 2016-12-08 |
| 1285000786 | Jared Scott Snyder | Physical Therapy Assistant | 1745 E Hunt Hwy, Suite 103, San Tan Valley, AZ 85143 | 2015-08-19 |
| 1801289236 | Tiffany Battle | Behavioral Analyst | 2626 E. Manuel Road, San Tan Valley, AZ 85143 | 2015-03-10 |
| 1437541091 | Kelly Denise Griffin | Registered Nurse | 35945 N. Gary Rd, Suite 101, San Tan Valley, AZ 85143 | 2015-02-19 |
| 1528496031 | Casey Manzanedo | Licensed Practical Nurse | 35900 E Charbray Dr., San Tan Valley, AZ 85143 | 2013-10-18 |
| 1891136461 | Lisa Kay Scarpa | Home Health Aide | 925 E Canyon Rock Rd, San Tan Valley, AZ 85143 | 2013-07-11 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1205814621 | Janet F Rinehart | Family Medicine | 30046 N Varnum Rd, San Tan Valley, AZ 85143 | 2006-01-05 |
| Find all providers in zip 85143 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497249452 | San Tan Primary Care PC | Family Medicine | 36283 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 | 2018-06-21 |
| 1164801205 | Tanya Marie Balov | Family Medicine | 36283 N Gantzel Rd, Ste 101, San Tan Valley, AZ 85140-7322 | 2015-05-21 |
| 1831400894 | Benjamin T Clark | Family Medicine | 35945 N Gary Rd, San Tan Valley, AZ 85143-5748 | 2010-06-24 |
| 1114451986 | Matthew Cook | Family Medicine | 37100 N Gantzel Rd Ste 201, San Tan Valley, AZ 85140-7352 | 2017-04-18 |
| 1568621795 | Dorin T. Popa | Family Medicine | 37100 N Gantzel Rd, Suite # 202, San Tan Valley, AZ 85140-7349 | 2008-06-03 |
| 1639211246 | Brian Cafaro | Family Medicine | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5095 | 2007-02-12 |
| 1063573079 | Good Health Medical, PC | Family Medicine | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 | 2006-12-13 |
| 1518915685 | Payam Zamani | Family Medicine | 287 E Hunt Hwy, Suite #105, San Tan Valley, AZ 85143-5096 | 2006-05-04 |
| 1093772964 | Monte L Jones | Family Medicine | 287 E Hunt Hwy, Ste 105, San Tan Valley, AZ 85143-5095 | 2006-04-26 |
| 1588637326 | Edgar Arthur Suter | Family Medicine | 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143-5096 | 2006-02-10 |
| Find all providers in SAN TAN VALLEY | ||||
| City | SAN TAN VALLEY |
| Zip Code | 85143 |
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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.