DR. EDWARD W SONG (NPI# 1518947530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518947530 |
| Entity Type | Individual |
| Full Name | DR. EDWARD W SONG |
| Credential | M.D. |
| Practice Address |
2940 E Banner Gateway Dr Suite 200 Gilbert AZ 85234-2168 |
| Mailing Address |
Po Box 271429 Salt Lake City UT 84127-1429 |
| Practice Telephone | 4809642908 |
| Practice Fax Number | 4808332136 |
| Mailing Telephone | 6027723800 |
| Mailing Fax Number | 6027723801 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2017-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
33859 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | HEALTHNET | 3Z3945 | 01 |
| AZ | 958928 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437438769 | Edward Hanuk Song | Dentist | Navy Medicine Support Command, Medical Staff Services, Bldg. H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2011-08-04 |
| 1497187942 | Edward Song | Acupuncturist | 2625 Old Denton Rd, Suite 546, Carrollton, TX 75007-5125 | 2013-08-07 |
| 1548541311 | Edward Song | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2011-09-07 |
| Street Address |
2940 E BANNER GATEWAY DR SUITE 200 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957556 | Beth Erickson Foley | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2005-07-29 |
| 1477090801 | Orthopedic Specialists of North America, Pllc | Orthopaedic Surgery | 2940 E Banner Gateway Dr, Suite 350, Gilbert, AZ 85234-2168 | 2017-01-24 |
| 1306203674 | Jennifer Gomez | Physician Assistant | 2940 E Banner Gateway Dr, Gilbert, AZ 85234-2168 | 2016-01-18 |
| 1679941835 | Rebecca Luiten | Genetic Counselor, MS | 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234-2168 | 2015-09-04 |
| 1497156640 | Jason Theodore Trulson | Physician Assistant | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2014-09-08 |
| 1336561828 | Kathleen M Forgy | Nurse Practitioner | 2940 E Banner Gateway Dr, Gilbert, AZ 85234 | 2014-01-17 |
| 1114357555 | Jennifer Gray | Clinical Nurse Specialist | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2013-11-21 |
| 1992130991 | Laura Mount | Physician Assistant | 2940 E Banner Gateway Dr, Suite 200, Gilbert, AZ 85234-2168 | 2013-09-09 |
| 1063855088 | Osna Primary Care, LLC | Family Medicine | 2940 E Banner Gateway Dr, Ste 200, Gilbert, AZ 85234-2171 | 2013-04-09 |
| 1265771588 | Athena Turnage | Physical Therapist | 2940 E Banner Gateway Dr, Suite 425, Gilbert, AZ 85234-2168 | 2013-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740677087 | Premier Orthopedic Pllc | Orthopaedic Surgery | 2557 S Val Vista Dr, Ste. 103, Gilbert, AZ 85295-6229 | 2015-04-24 |
| 1447559216 | Brandon Paul Hirsch | Orthopaedic Surgery | 3420 S Mercy Rd Ste 200, Gilbert, AZ 85297 | 2011-03-19 |
| 1215109673 | Caleb J. Behrend | Orthopaedic Surgery | 2940 E Banner Gateway Dr Ste 200, Gilbert, AZ 85234-2171 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891293148 | Joint Replacement Cin of Tucson LLC | Orthopaedic Surgery | 5151 E Broadway Blvd Ste 1600b, Tucson, AZ 85711-3777 | 2018-01-31 |
| 1407354756 | Spine Cin of Tucson LLC | Orthopaedic Surgery | 5151 E Broadway Blvd Ste 1600c, Tucson, AZ 85711-3777 | 2018-01-31 |
| 1508364852 | Spine Cin of Phoenix LLC | Orthopaedic Surgery | 2155 W Pinnacle Peak Rd Ste 201a, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1447758792 | Joint Replacement Cin of Phoenix LLC | Orthopaedic Surgery | 2155 W Pinnacle Peak Rd Ste 201b, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1144748468 | Emergency Spine, PC | Orthopaedic Surgery | 3101 E Shea Blvd Ste 114, Phoenix, AZ 85028-3209 | 2017-09-07 |
| 1619311446 | Desert Spine Center A Professional Corporation | Orthopaedic Surgery | 2281 W 24th St Ste 5, Yuma, AZ 85364-6197 | 2013-04-23 |
| 1609168442 | Arizona Spine Center, P.a. | Orthopaedic Surgery | 2155 E Conference Dr Ste 111, Tempe, AZ 85284-2604 | 2011-05-12 |
| 1588846851 | Phoenix Spine Consultants Pllc | Orthopaedic Surgery | 19841 N 27th Ave Ste 300a, Phoenix, AZ 85027-4012 | 2007-11-28 |
| 1093903023 | Katherine S Looby | Orthopaedic Surgery | 1432 S. Dobson Rd, Suite 201, Mesa, AZ 85020 | 2007-10-03 |
| 1154522910 | Michael S Chang | Orthopaedic Surgery | 1462 S. Dobson Road, Suite 201, Mesa, AZ 85202 | 2007-05-30 |
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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.