KATHY SONG (NPI# 1396095360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396095360 |
| Entity Type | Individual |
| Full Name | KATHY SONG |
| Credential | PA-C |
| Practice Address |
356110 E 930 Rd Stroud OK 74079-5184 |
| Mailing Address |
2868 Acton Rd Vestavia AL 35243-2502 |
| Practice Telephone | 9189689531 |
| Mailing Telephone | 2053796075 |
| Mailing Fax Number | 8667020880 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2160 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1287 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558628214 | Kathy Song | Pharmacist | 253 1st Ave, New York, NY 10003-2926 | 2012-04-19 |
| Street Address |
356110 E 930 RD |
| City | STROUD |
| State | OK |
| Zip Code | 74079-5184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871663203 | Sac & Fox Nation | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2006-11-09 |
| 1629569959 | Tammy Hobbie | Physician Assistant | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2018-05-22 |
| 1699296905 | Camaron Eugene Snider | Pharmacist | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2017-06-28 |
| 1679942585 | Jayne Deanne Fortenberry | Nurse Practitioner | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2015-09-21 |
| 1881091833 | Elizabeth Burgess | Dietitian, Registered | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2014-11-19 |
| 1437553476 | Gregory Dunlevy | Physical Therapist | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2014-10-20 |
| 1386070530 | Tyler Austin Rolette | Physical Therapist | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2013-09-19 |
| 1629337753 | Stephen Johnston | Physician Assistant | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2012-05-09 |
| 1851665780 | Sharlyn Kennon | Community Health Worker | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2012-02-23 |
| 1689880916 | Deanna F. Densman | Counselor | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649710369 | Daniel Hall | Nurse Practitioner | 2308 Ok-66, Stroud, OK 74079 | 2017-02-28 |
| 1407106636 | Danita Kollars | Counselor | 256110 E. 930 Rd, Stroud, OK 74079 | 2012-09-14 |
| 1790798411 | Dental Designs of Stroud | Dentist | 401 W Main, Stroud, OK 74079 | 2006-08-14 |
| 1720019953 | Fidelity Health Care Consultants, P.C. | Clinic/Center | 320 North 4th Ave., Stroud, OK 74079 | 2006-07-05 |
| 1205836061 | Thomas Seymour Henry | Internal Medicine | Route 2 Box 247, Black Hawk Health Center, Stroud, OK 74079 | 2005-07-22 |
| 1275934283 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1600 W Highway 66, Stroud, OK 74079-2804 | 2014-09-09 |
| 1548603855 | Jennifer Dae Arvizu | Occupational Therapy Assistant | 218 W 5th St, Stroud, OK 74079-3419 | 2013-04-17 |
| 1073030243 | John Daniel Neal | Counselor | 501 N 1st Ave, Stroud, OK 74079-3446 | 2017-08-28 |
| 1508999145 | Timothy D Moore Od PC | Optometrist | 109 W Main St, Stroud, OK 74079-3607 | 2007-03-13 |
| 1417935008 | Timothy Dean Moore | Optometrist | 109 W Main St, Stroud, OK 74079-3607 | 2006-01-04 |
| Find all providers in zip 74079 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477580249 | Mark Hastings Neer | Physician Assistant | 2308-b West Highway 66, Stroud, OK 74079-6729 | 2006-06-27 |
| 1942270053 | Terri L Neer | Physician Assistant | 2308b W Highway 66, Stroud, OK 74079-6729 | 2006-01-23 |
| 1629337753 | Stephen Johnston | Physician Assistant | 356110 E 930 Rd, Stroud, OK 74079-5184 | 2012-05-09 |
| 1770853772 | Amanda Bodine | Physician Assistant | 2308 W Highway 66, Stroud, OK 74079-6729 | 2012-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
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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.