DR. SEOKHAN SONG (NPI# 1194163170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194163170 |
| Entity Type | Individual |
| Full Name | DR. SEOKHAN SONG |
| Other Name | DR. KYLE SONG |
| Credential | D.O., M.S. |
| Practice Address |
140 W 11th St Front Royal VA 22630-3512 |
| Mailing Address |
124 Shumard Ct Stephens City VA 22655-4062 |
| Practice Telephone | 5406362028 |
| Mailing Telephone | 7035093735 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102204062 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
140 W 11TH ST |
| City | FRONT ROYAL |
| State | VA |
| Zip Code | 22630-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245224666 | Gretchen Lambert Johnson | Pharmacist | 140 W 11th St, Front Royal Family Practice, Front Royal, VA 22630-3512 | 2005-08-31 |
| 1669092144 | John Bianco | Student in an Organized Health Care Education/Training Program | 140 W 11th St, Front Royal, VA 22630-3512 | 2020-04-24 |
| 1164042651 | Danielle Estrada | Student in an Organized Health Care Education/Training Program | 140 W 11th St, Front Royal, VA 22630-3512 | 2020-04-24 |
| 1124648696 | Sean Sutphen | Student in an Organized Health Care Education/Training Program | 140 W 11th St, Front Royal, VA 22630-3512 | 2020-04-24 |
| 1578183141 | Paulius Mui | Student in an Organized Health Care Education/Training Program | 140 W 11th St, Front Royal, VA 22630-3512 | 2020-04-23 |
| 1700449295 | Jerry Patrick Skuthan | Student in an Organized Health Care Education/Training Program | 140 W 11th St, Front Royal, VA 22630-3512 | 2019-04-19 |
| 1871156679 | Stephanie Wagstaff Lafave | Student in an Organized Health Care Education/Training Program | 140 W 11th St, Front Royal, VA 22630-3512 | 2019-04-17 |
| 1841853785 | Julia Katherine Shuster | Student in an Organized Health Care Education/Training Program | 140 W 11th St, Front Royal, VA 22630-3512 | 2019-04-16 |
| 1558855452 | Nelson Mckay | Family Medicine | 140 W 11th St, Front Royal, VA 22630-3512 | 2018-06-15 |
| 1245724061 | Camelia Soliman | Family Medicine | 140 W 11th St, Front Royal, VA 22630-3512 | 2018-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954535 | Warren Memorial Hospital, Inc. | Internal Medicine | 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 | 2018-06-05 |
| 1841649712 | Daniel Mendez | Family Medicine | 140 W. Eleventh Street, Front Royal, VA 22630 | 2016-06-10 |
| 1669838579 | Valley Dental Care | Clinic/Center | 842 N. Shenandoah Ave., 1, Front Royal, VA 22630 | 2016-01-07 |
| 1447689088 | Erik Mitchell | Orthopaedic Surgery | 120 N Commerce Ave Ste 103, Front Royal, VA 22630 | 2013-11-04 |
| 1639439789 | John Talbot English IIi | Surgery | 1077 N Shenandoah Ave Ste A, Front Royal, VA 22630 | 2012-05-23 |
| 1316215122 | Roberta M Gilbert | Psychiatry & Neurology | 136 Ruffed Grouse Ct., Lake Frederick, VA 22630 | 2011-12-07 |
| 1407098601 | R.a.c. Security Systems, Inc | Durable Medical Equipment & Medical Supplies | 315 West 14th Street, Front Royal, VA 22630 | 2009-04-02 |
| 1699915298 | National Counseling Group, Inc | Counselor | 134 Peyton Street, Front Royal, VA 22630 | 2009-02-23 |
| 1346449774 | Uhs Front Royal LLC | Psychiatric Residential Treatment Facility | 202 West Criser Road, Suite 400, Front Royal, VA 22630 | 2007-07-16 |
| 1710194774 | Apple Valley Dental Group | Dentist | 869 John Marshall Highway, Suite A, Front Royal, VA 22630 | 2007-05-17 |
| Find all providers in zip 22630 | ||||
| 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 |
|---|---|---|---|---|
| 1841649712 | Daniel Mendez | Family Medicine | 140 W. Eleventh Street, Front Royal, VA 22630 | 2016-06-10 |
| 1700101110 | Steven D. Bridges | Family Medicine | 65 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2010-03-30 |
| 1881805307 | Tolvert E Fowler Jr. | Family Medicine | 120 N Commerce Ave Ste 230ob245, Front Royal, VA 22630-2660 | 2007-05-25 |
| 1104900513 | Skyline Family Practice PC | Family Medicine | 841 N Shenandoah Ave, Front Royal, VA 22630-3501 | 2006-10-24 |
| 1558855452 | Nelson Mckay | Family Medicine | 140 W 11th St, Front Royal, VA 22630-3512 | 2018-06-15 |
| 1245724061 | Camelia Soliman | Family Medicine | 140 W 11th St, Front Royal, VA 22630-3512 | 2018-06-15 |
| 1396237582 | Nauras Hwig | Family Medicine | 140 W 11th St, Front Royal, VA 22630-3512 | 2018-06-04 |
| 1417447871 | Warren Memorial Hospital, Inc. | Family Medicine | 67 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2018-05-11 |
| 1023506474 | Elena Messina | Family Medicine | 140 W 11th St, Front Royal, VA 22630-3512 | 2018-05-01 |
| 1760910863 | David Edson Clark | Family Medicine | 140 W 11th St, Front Royal, VA 22630-3512 | 2017-06-01 |
| Find all providers in FRONT ROYAL | ||||
| City | FRONT ROYAL |
| Zip Code | 22630 |
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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.