DR. LIJUN SONG (NPI# 1386756815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386756815 |
| Entity Type | Individual |
| Full Name | DR. LIJUN SONG |
| Credential | MD |
| Practice Address |
100 Hitchcock Way Manchester NH 03104 |
| Practice Telephone | 6036952500 |
| Practice Fax Number | 6036952635 |
| Mailing Telephone | 6036952500 |
| Mailing Fax Number | 6036952635 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10375 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30011546 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194700989 | Lijun Song | Rehabilitation Practitioner | 39 East 20th Street, New York, NY 10003 | 2005-12-14 |
| Street Address |
100 HITCHCOCK WAY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268368 | Anthony H Repucci | Pediatrics | 100 Hitchcock Way, Dartmouth Hitchcock - Pediatric Gastroenterology, Manchester, NH 03104-4125 | 2005-10-06 |
| 1518589530 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-05-13 |
| 1609407063 | Ashley Marie Hardy | Dietitian, Registered | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-02-03 |
| 1134764442 | Wendy Ann Cyr | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-11-11 |
| 1003477613 | Stephanie M Winn | Nurse Practitioner | 100 Hitchcock Way, Internal Medicine/pediatrics, Manchester, NH 03104 | 2019-06-25 |
| 1003475914 | Jason Akerman | Urology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-06-13 |
| 1134681711 | Tonya M Binder | Nurse Practitioner | 100 Hitchcock Way, Dartmouth Hitchcock - Gastroenterology, Manchester, NH 03104-4125 | 2019-04-03 |
| 1740745926 | Laura J Vanbrocklin | Nurse Practitioner | 100 Hitchcock Way, Cardiology, Manchester, NH 03104 | 2019-02-01 |
| 1538633599 | Debra A Hansen | Social Worker | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-01-14 |
| 1659842466 | Michelle F Hill | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2018-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1558719476 | Plan Ahead Medical Services, LLC | Internal Medicine | 493 Walnut St, Manchester, NH 03104-2312 | 2016-06-01 |
| 1750737474 | Zachary Stevens | Internal Medicine | 100 Mcgregor St Rm 1980, Manchester, NH 03102-3730 | 2016-05-12 |
| 1962780940 | Imelda Angelica Perez Cirilo | Internal Medicine | 629 Middle Tpke E, Manchester, CT 06040-3731 | 2011-07-25 |
| 1366670754 | Johny Hanna Simon Kuttab | Internal Medicine | 1 Elliot Way # 100, Manchester, NH 03103 | 2009-06-24 |
| 1811142409 | Gregory E. White | Internal Medicine | 75 Steinmetz Dr, Manchester, NH 03104-1830 | 2008-11-24 |
| 1861646952 | Mediclinik | Internal Medicine | 14173 Manchester Rd Ste C, Manchester, MO 63011-4524 | 2008-11-16 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1669635694 | Patrick Scanlon | Internal Medicine | 87 Mcgregor St Ste 1300, Manchester, NH 03102-3765 | 2008-07-09 |
| 1659538239 | Dr. Biesek Pllc | Internal Medicine | 1650 Elm St Ste 302, Manchester, NH 03101-1217 | 2008-05-21 |
| 1023283009 | Peter Wilson Shaw | Internal Medicine | 100 Mcgregor St # Stb, Manchester, NH 03102 | 2008-04-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.