SONG IL YU (NPI# 1912927625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912927625 |
| Entity Type | Individual |
| Full Name | SONG IL YU |
| Credential | M.D. |
| Practice Address |
33733 Us Highway 280 Childersburg AL 35044-3017 |
| Practice Telephone | 2563783301 |
| Practice Fax Number | 2563783026 |
| Mailing Telephone | 2563783301 |
| Mailing Fax Number | 2563783026 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 00027603 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942373089 | Song Yol Yu | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2006-11-16 |
| 1750354916 | Song Yu | Anesthesiology | 259 1st St, Mineola, NY 11501-3957 | 2006-02-08 |
| 1790770352 | Song Ki Yu | Podiatrist | 1817 Black Rock Tpke, Ste 8 Advanced Medical Footcare, Fairfield, CT 06825-3546 | 2005-09-20 |
| Street Address |
33733 US HIGHWAY 280 |
| City | CHILDERSBURG |
| State | AL |
| Zip Code | 35044-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157596 | Nancy Coleana Hill | Nurse Practitioner | 33733 Us Highway 280, Childersburg, AL 35044-3017 | 2020-06-02 |
| 1245745405 | Laura Snook | Nurse Practitioner | 33733 Us Highway 280, Childersburg, AL 35044-3017 | 2017-12-11 |
| 1710176037 | John W Bowers | Ophthalmology | 33733 Us Highway 280, Childersburg, AL 35044-3017 | 2007-10-23 |
| 1972683589 | Norman Donald Chambers | Family Medicine | 33733 Us Highway 280, Childersburg, AL 35044-3017 | 2006-10-17 |
| 1225139959 | Shanon Reynolds Jernigan | Family Medicine | 33733 Us Highway 280, Childersburg, AL 35044-3017 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992935514 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 33605 Hwy 280, Childersburg, AL 35044 | 2009-07-16 |
| 1477735983 | Summer Raye Karns Heard | Audiologist | 33605 Us Highway 280, Childersburg, AL 35044 | 2007-11-27 |
| 1073649737 | Scott Appell Md PC | Orthopaedic Surgery | 34401 Hwy 280, Childersburg, AL 35044 | 2007-02-26 |
| 1952484081 | Management and Medical Services, LLC | Family Medicine | 34011 Highway 280 East, Childersburg, AL 35044 | 2006-10-23 |
| 1790881787 | Wendy White Cleveland | Pharmacist | 33404 Us Hwy 280, Childersburg, AL 35044 | 2006-09-16 |
| 1508962507 | Arnold Larry Kirkland Jr. | Pharmacist | 33404 Us Highway 280, Childersburg, AL 35044 | 2006-09-16 |
| 1831320340 | Terry R Walters | Audiologist-Hearing Aid Fitter | 33605 Hwy 280, Childersburg, AL 35044 | 2009-07-31 |
| 1720010754 | Freds Stores of Tennessee Inc | Pharmacy | 80 River Run Rd, Childersburg, AL 35044-1208 | 2006-07-07 |
| 1558679530 | Jim Peeples | Pharmacist | 80 River Run Rd, Childersburg, AL 35044-1208 | 2010-09-23 |
| 1255574729 | Birmingham Vamc | Clinic/Center | 151 9th Ave Nw, Childersburg, AL 35044-1231 | 2009-04-14 |
| Find all providers in zip 35044 | ||||
| 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 |
|---|---|---|---|---|
| 1952484081 | Management and Medical Services, LLC | Family Medicine | 34011 Highway 280 East, Childersburg, AL 35044 | 2006-10-23 |
| 1467470526 | Susan Deane Mccollum | Family Medicine | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2006-07-17 |
| 1811430473 | Molly Andrews Ellis | Family Medicine | 34011 Us Highway 280, Childersburg, AL 35044-2128 | 2016-11-29 |
| 1609947993 | Jarod E Speer | Family Medicine | 34011 Us Highway 280, Suite A, Childersburg, AL 35044-2128 | 2006-11-10 |
| 1972683589 | Norman Donald Chambers | Family Medicine | 33733 Us Highway 280, Childersburg, AL 35044-3017 | 2006-10-17 |
| 1225139959 | Shanon Reynolds Jernigan | Family Medicine | 33733 Us Highway 280, Childersburg, AL 35044-3017 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1043810195 | Tempus Primary Care | Family Medicine | 4101 Balmoral Dr Sw Ste B, Huntsville, AL 35801-6535 | 2020-10-28 |
| 1497354617 | Southcoast Medical Services | Family Medicine | 34463 Us Highway 98 Ste G, Lillian, AL 36549-4049 | 2020-10-19 |
| 1154929131 | Jackson Tuley Cornelison | Family Medicine | 41 Eminence Way Ste A, Pell City, AL 35128-2338 | 2020-10-13 |
| 1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
| 1336752088 | Christy Nicole Johnson | Family Medicine | 634 Drew Dr, Hollywood, AL 35752-6556 | 2020-08-24 |
| 1053920264 | Mms Life, LLC | Family Medicine | 401 Evergreen Ave, Brewton, AL 36426-2066 | 2020-07-24 |
| 1164040986 | Marshall Primary Care | Family Medicine | 7938 Al Highway 69 Ste 350, Guntersville, AL 35976-7135 | 2020-07-08 |
| 1750907507 | Agape Medicine, LLC | Family Medicine | 42598 State Highway 75, Snead, AL 35952-6566 | 2020-06-17 |
| 1750906921 | Doctors Making Home Visits 1st Inc | Family Medicine | 922 S Perry St, Montgomery, AL 36104-5022 | 2020-06-12 |
| Find all providers with the same taxonomy | ||||
| City | CHILDERSBURG |
| Zip Code | 35044 |
Please comment or provide details below to improve the information on SONG IL YU.
| 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.