DR. KYO CHUL SONG (NPI# 1184656753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184656753 |
| Entity Type | Individual |
| Full Name | DR. KYO CHUL SONG |
| Credential | M.D. |
| Practice Address |
100 Medical Blvd Canonsburg PA 15317-9762 |
| Mailing Address |
320 E North Ave Pittsburgh PA 15212-4756 |
| Practice Telephone | 7247453916 |
| Practice Fax Number | 7247466328 |
| Mailing Telephone | 4123596886 |
| Mailing Fax Number | 4123593598 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD049917L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 01465191 | 05 |
| Street Address |
100 MEDICAL BLVD |
| City | CANONSBURG |
| State | PA |
| Zip Code | 15317-9762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548260573 | Kimberly Ann Hennon | Emergency Medicine | 100 Medical Blvd, Canonsburg Hospital, Canonsburg, PA 15317 | 2005-08-01 |
| 1124594916 | Logan Taylor Pape | Physician Assistant | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2018-10-18 |
| 1124534961 | Ashley E Aspiotes | Nurse Practitioner | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2017-12-15 |
| 1528417151 | Christopher Morris | Emergency Medicine | 100 Medical Blvd, Canonsburg, PA 15317 | 2016-06-04 |
| 1336593482 | Daniel Glickman | Internal Medicine | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2016-04-14 |
| 1851792360 | Mon-vale Orthopedics Inc | Physical Medicine & Rehabilitation | 100 Medical Blvd, Ste 150, Canonsburg, PA 15317-9762 | 2014-09-16 |
| 1861804726 | Michael Jonathan Tranovich | Emergency Medicine | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2014-05-27 |
| 1790100154 | Ahn Emergency Group of Canonsburg Ltd. | Emergency Medicine | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2014-02-21 |
| 1275969255 | Allegheny Clinic | Obstetrics & Gynecology | 100 Medical Blvd, Center for Women's Health, Canonsburg, PA 15317-9762 | 2013-09-23 |
| 1316373467 | Allegheny Clinic | Family Medicine | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294062 | Agnes Odelia Strang | Technician | 18 Angerer Rd, Canonsburg, PA 15317 | 2020-01-10 |
| 1578026191 | Centerville Clinics | Social Worker | Peters Township High School, 264 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1700349321 | Centerville Clinics Inc | Social Worker | Peters Township Middle School, 626 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1811450448 | Centerville Clinics Inc | Social Worker | Pleasant Valley Elementary School, 250 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1104315241 | Jill Brandtonies | Nurse Practitioner | 5000 Waterdam Plaza Dr Ste 180, Canonsburg, PA 15317 | 2018-05-03 |
| 1053827527 | Debra Gowans | Registered Nurse | 100 Blue Jay Road, Canonsburg, PA 15317 | 2017-12-20 |
| 1801300462 | Caregivers On Demand LLC | In Home Supportive Care | 125 Technology Dr Ste 103, Canonsburg, PA 15317 | 2017-11-18 |
| 1407365919 | Robert Michael Krak | Dentist | 169 Progress Drive, Waynesburg, PA 15317 | 2017-09-27 |
| 1457873838 | Sara Vallelunga | Physician Assistant | 62 Abbeywood Lane, Canonsburg, PA 15317 | 2017-07-07 |
| 1457770364 | Skraitz Chiropractic PC | Chiropractor | 2476 Washington Road, Canonsburg, PA 15317 | 2014-04-08 |
| Find all providers in zip 15317 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699087825 | Quratulain Ahmed | Pathology | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2010-07-02 |
| 1093967598 | Tasneem A Z Syed Md PC | Pathology | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2008-10-15 |
| 1609989136 | Tasneem A Syed | Pathology | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2006-08-17 |
| 1346252012 | Manju E Nath | Pathology | 100 Medical Blvd, Canonsburg, PA 15317-9762 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889690 | Alisa Rene Nobee | Pathology | 433 Seneca St, Essington, PA 19029-1608 | 2020-10-21 |
| 1861049637 | Partners In Specialty Pathology PC | Pathology | 2301 Harrisburg Pike Ste 201, Lancaster, PA 17601-2415 | 2019-08-26 |
| 1427619790 | Madeline Reganis | Pathology | 117 S. 11th Street, 204 Pavilion, Philadelphia, PA 19107-4949 | 2019-06-26 |
| 1750944526 | Silverpath, Inc. | Pathology | 512 E. Township Line Road, Suite 135, Tower 4, Blue Bell, PA 19422-2700 | 2019-04-17 |
| 1396224838 | Jacob Smith | Pathology | A711 Scaife Hall 3550 Terrace Street, Pittsburgh, PA 15261-0001 | 2018-08-07 |
| 1588142889 | Daniel Francis Marker | Pathology | 3550 Terrace Street A711 Scaife Hall Pathology Office, Pittsburgh, PA 15262-0001 | 2018-07-30 |
| 1043796048 | Zhimin Yuan | Pathology | 125 S 11th St Rm 204, Philadelphia, PA 19107-4949 | 2018-07-13 |
| 1316423379 | John Michael Skaugen | Pathology | 3550 Terrace St # A615, Pittsburgh, PA 15213-2500 | 2018-07-12 |
| 1497249692 | Jalil Nasibli | Pathology | 5435 Claybourne St Apt 806, Pittsburgh, PA 15232-1639 | 2018-06-20 |
| 1811494248 | Lower Bucks Physician Associates, PC | Pathology | 1 Bath Road, Bristol, PA 19007 | 2018-04-11 |
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| City | CANONSBURG |
| Zip Code | 15317 |
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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.