YOUNG MIN SONG (NPI# 1932394061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932394061 |
| Entity Type | Individual |
| Full Name | YOUNG MIN SONG |
| Other Name | MINDY SONG |
| Credential | M.D. |
| Practice Address |
2450 E River Rd Tucson AZ 85718-6522 |
| Practice Telephone | 5207957750 |
| Practice Fax Number | 5203202155 |
| Mailing Telephone | 5207957750 |
| Mailing Fax Number | 5293202155 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2011-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
43281 | AZ | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
43281 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ MEDICAL BOARD | 43281 | 01 |
| AZ | 523941 | 05 | |
| CA | MEDICAL BOARD | A105993 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043751514 | Young Song | Pedorthist | 14431 41st Ave Ste L6, Flushing, NY 11355-1452 | 2017-03-16 |
| 1811914559 | Young H Song | Psychiatry & Neurology | 5605 Glenridge Dr, #600, Atlanta, GA 30342 | 2006-07-17 |
| 1770569105 | Young Sug Song | Nuclear Medicine | 1221 Chersonese Round, Mount Pleasant, SC 29464-9545 | 2005-12-18 |
| 1962926493 | Young Song | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033 | 2017-07-26 |
| 1336690197 | Young Song | Pharmacist | 27107 Tourney Rd, Santa Clarita, CA 91355-1860 | 2016-10-17 |
| 1174906721 | Young Sohn Song | Psychologist | 11301 Wilshire Blvd Bldg 402, Va Greater Los Angeles Healther Care System, Los Angeles, CA 90073-1003 | 2015-07-01 |
| 1679712640 | Young Song | Urology | 101 E Miller Rd, Sterling, IL 61081-1252 | 2009-02-13 |
| 1013113026 | Young Suk Song | Radiology | 2801 Atlantic Avenue, Attn: Radiology Department, Long Beach, CA 90806 | 2007-06-26 |
| 1730259177 | Young S Song | Chiropractor | 3201 Rogers Ave, Suite 102, Ellicott City, MD 21043-4594 | 2006-11-09 |
| 1972602860 | Young Don Song | Dentist | 775 W Main St, Lake Zurich, IL 60047-2348 | 2006-09-21 |
| Street Address |
2450 E RIVER RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85718-6522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779872 | Anwar Badruddoja | Specialist | 2450 E River Rd, Tucson, AZ 85718-6522 | 2005-12-02 |
| 1245872274 | Alyssa J. Everett | Audiologist | 2450 E River Rd, Tucson, AZ 85718-6526 | 2019-10-10 |
| 1124684865 | Ezra E Smith | Clinical Neuropsychologist | 2450 E River Rd, Tucson, AZ 85718-6526 | 2019-05-17 |
| 1518465558 | Marisela Aguayo | Physician Assistant | 2450 E River Rd, Tucson, AZ 85718-6526 | 2018-01-24 |
| 1568980845 | Alexander Rogers | Nurse Practitioner | 2450 E River Rd, Tucson, AZ 85718-6526 | 2017-09-06 |
| 1013431212 | Gabriel Leyba Altamirano | Nurse Practitioner | 2450 E River Rd, Tucson, AZ 85718-6526 | 2017-07-28 |
| 1871942524 | Maria Linda Manalo | Nurse Practitioner | 2450 E River Rd, Tucson, AZ 85718-6526 | 2016-06-03 |
| 1740666973 | Arizona Oncology Associates, PC | Non-Pharmacy Dispensing Site | 2450 E River Rd, Ste. # 125, Tucson, AZ 85718-6526 | 2015-08-11 |
| 1447636063 | Stephanie Bourn-macdonald | Audiologist | 2450 E River Rd, Tucson, AZ 85718-6526 | 2015-08-05 |
| 1992189930 | Center for Neurosciences | Psychiatry & Neurology | 2450 E River Rd, Tucson, AZ 85718-6526 | 2015-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503103 | Janet Lee | Physical Therapist | 2720 E River Rd, Tucson, Az 85718, Tucson, AZ 85718 | 2017-12-07 |
| 1922519230 | Patricia Shumate Haebe | Naturopath | 7364 N Mountain Shadows Dr, Tucson, AZ 85718 | 2017-10-13 |
| 1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
| 1093245680 | Genevieve Antoinette Sansonetti-sice | Advanced Practice Midwife | 7252 N Placita Sin Codicia, Tucson, AZ 85718 | 2017-06-15 |
| 1609307354 | Tucson Hacienda River, LLC | Skilled Nursing Facility | 2720 E River Road, Tucson, AZ 85718 | 2017-03-24 |
| 1629524368 | Family First Senior Services | Durable Medical Equipment & Medical Supplies | 3837 N Forest Park Dr, Unit 122, Tucson, AZ 85718 | 2016-09-01 |
| 1326410069 | Desert Edge Holdings, LLC Dba Caring Senior Service | In Home Supportive Care | 1760 E. River Road, Suite 161, Tucson, AZ 85718 | 2015-10-21 |
| 1841676616 | Manal W Sabri | Speech-Language Pathologist | 1050 E River Plaza, Suite 100, Tucson, AZ 85718 | 2015-08-04 |
| 1538569983 | Kristen Zaporowski | Physical Therapist | 1800 East River Road, Suite #200, Tucson, AZ 85718 | 2014-09-03 |
| 1598101347 | Thomas Edmund Obrien | Surgery | 5240 Circulo Sobrio, Tucson, AZ 85718 | 2013-05-21 |
| Find all providers in zip 85718 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992294607 | Kathryn Clare Krulisky | Psychiatry & Neurology | 1501 N Campbell Ave Rm 6204a, Tucson, AZ 85724-0001 | 2018-05-08 |
| 1730603283 | Gilbert Rene Gonzales | Psychiatry & Neurology | 863 W Calle De Los Higos, Tucson, AZ 85745-3250 | 2017-07-26 |
| 1376902536 | Vimala Sravanthi Vajjala | Psychiatry & Neurology | 1501 N Campbell Ave Fl 6, Tucson, AZ 85724-1962 | 2016-02-16 |
| 1568842961 | Judy Dawod | Psychiatry & Neurology | 3838 N Campbell Avenue, Bldg 2, Clinic E, Tucson, AZ 85719 | 2015-06-02 |
| 1942546841 | Northstar Neurology, PC | Psychiatry & Neurology | 7596 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2012-12-20 |
| 1720391279 | Muhammad Awais Khan | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg2, Clinic E, Tucson, AZ 85719 | 2010-07-26 |
| 1730344102 | Mateja De Leonni Stanonik | Psychiatry & Neurology | 2850 E Skyline Dr Ste 130, Tucson, AZ 85718-8013 | 2008-07-24 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1700074507 | Kamakshi A. Patel | Psychiatry & Neurology | 6261 N. La Cholla Blvd, Suite 131, Tucson, AZ 85741 | 2007-10-05 |
| 1164627329 | Valerie Ann Cwik | Psychiatry & Neurology | 3300 E Sunrise Dr, Tucson, AZ 85718-3208 | 2007-06-18 |
| Find all providers in TUCSON | ||||
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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.