DR. SEUNG-JAE TEXAS SONG (NPI# 1922388206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922388206 |
| Entity Type | Individual |
| Full Name | DR. SEUNG-JAE TEXAS SONG |
| Credential | DPM |
| Practice Address |
2120 Exeter Rd Ste 220 Germantown TN 38138-3964 |
| Practice Telephone | 9017570045 |
| Mailing Telephone | (901) 757-0045 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 753 | TN | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1695 Bender Rd, Memphis, TN 381168008 | 9013458880 |
| Street Address |
2120 EXETER RD STE 220 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-3964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275058 | Frank A Ognibene | Podiatrist | 2120 Exeter Rd, Ste 220, Germantown, TN 38138-3918 | 2005-06-14 |
| 1861645392 | Darrell G. Croft, Dpm | Podiatrist | 2120 Exeter Rd, Suite 200, Germantown, TN 38138-3964 | 2008-10-28 |
| 1518115708 | Baptist Memorial Medical Group Inc | Physical Medicine & Rehabilitation | 2120 Exeter Rd, Suite 240, Germantown, TN 38138-3964 | 2008-09-03 |
| 1790975902 | Ognibene Clinics | Podiatrist | 2120 Exeter Rd, Suite 220, Germantown, TN 38138-3964 | 2007-07-25 |
| 1841410370 | Leanna Nikole Simmons | Occupational Therapist | 2120 Exeter Rd, Germantown, TN 38138-3922 | 2007-04-26 |
| 1427274711 | Alicia Ann Wass | Speech-Language Pathologist | 2120 Exeter Rd, Suite 110, Germantown, TN 38138-3922 | 2007-04-17 |
| 1679696074 | Susan Gail Black | Occupational Therapist | 2120 Exeter Rd, Germantown, TN 38138-3922 | 2007-04-09 |
| 1396862355 | Mary Anne Jenkins | Physical Therapist | 2120 Exeter Rd, Germantown, TN 38138-3922 | 2007-03-23 |
| 1114953239 | Memphis Spine Center | Specialist | 2120 Exeter Rd, Suite 130, Germantown, TN 38138-3922 | 2006-06-23 |
| 1619926508 | Terry Paul Templeton | Otolaryngology | 2120 Exeter Rd, Suite 210, Germantown, TN 38138-3922 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417043217 | Thomas F Weidner | Podiatrist | 13218 Executive Park Ter, Germantown, MD 20874-2641 | 2006-10-05 |
| 1811237225 | Svetlana Malinsky, Dpm PC | Podiatrist | 20410 Observation Dr, #210, Germantown, MD 20876-4000 | 2013-02-21 |
| 1174597421 | Robert Mueller | Podiatrist | W168n11237 Western Ave, Germantown, WI 53022-3239 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629686696 | Ankle and Foot Centers of Nashville, LLC | Podiatrist | 1909 Mallory Ln Ste 100, Franklin, TN 37067-8230 | 2020-07-16 |
| 1417571498 | Advanced Diagnostic Imaging, PC | Podiatrist | 353 New Shackle Island Rd Ste 120b, Hendersonville, TN 37075-2329 | 2020-06-04 |
| 1154836708 | Advanced Foot Care, LLP | Podiatrist | 705 Cook Dr Ste 200, Athens, TN 37303-3494 | 2017-12-05 |
| 1043725690 | Advanced Foot Care, LLP | Podiatrist | 689 Medical Park Drive, Ste. 102, Lenoir City, TN 37772-5797 | 2017-12-05 |
| 1265941447 | Mendoza Foot & Ankle Center PC | Podiatrist | 3443 Dickerson Pike Ste 500, Nashville, TN 37207-2599 | 2017-09-20 |
| 1174044010 | Kevin Timothy Haag | Podiatrist | 9325 Apison Pike Ste 137, College Dale, TN 37363-3805 | 2017-06-30 |
| 1639526577 | Jared Todd Gremillion | Podiatrist | 240 Medical Park Blvd Ste 1500, Bristol, TN 37620-7353 | 2016-05-20 |
| 1720473820 | James Barksdale | Podiatrist | 1605 S Locust Ave Ste 101, Lawrenceburg, TN 38464-4053 | 2015-04-06 |
| 1780072371 | Special Care Podiatry of Tennessee, LLC | Podiatrist | 6140 E Brainerd Rd, Chattanooga, TN 37421-3910 | 2015-01-05 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| Find all providers with the same taxonomy | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
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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.