DR. XUYANG SONG (NPI# 1942681101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942681101 |
| Entity Type | Individual |
| Full Name | DR. XUYANG SONG |
| Credential | M.D. |
| Practice Address |
1221 S Clearview Pkwy Jefferson LA 70121-1011 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 5047364800 |
| Practice Fax Number | 5047364810 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
323567 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 S Paca St, 6th Floor Suite 300, Baltimore, MD 212011642 | 4103286040 |
| Street Address |
1221 S CLEARVIEW PKWY |
| City | JEFFERSON |
| State | LA |
| Zip Code | 70121-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598742918 | Ochsner Clinic Foundation | Rehabilitation Unit | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2005-12-28 |
| 1316571102 | Kristin Hampton | Specialist/Technologist | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2020-03-02 |
| 1013574961 | Ochsner Clinic Foundation | Orthopaedic Surgery | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2019-05-28 |
| 1447623889 | Jeffery Cowan Bosarge | Specialist/Technologist | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2015-11-06 |
| 1164893301 | Katherine Stagno | Specialist/Technologist | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2015-10-14 |
| 1427429968 | Jeffrey Berger Jr. | Specialist/Technologist | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2015-10-09 |
| 1194195990 | Kimberly Keller | Specialist/Technologist | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2015-10-06 |
| 1508236670 | Nia Stewart | Specialist/Technologist | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2015-10-01 |
| 1861862922 | Tiffany Gary | Specialist/Technologist | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2015-10-01 |
| 1740650951 | Brad Steverson | Specialist/Technologist | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2015-09-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772191 | Carlos Andres Cevallos | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2020-05-28 |
| 1497375257 | Vipin Varghese | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Bh 629, New Orleans, LA 70121 | 2020-04-22 |
| 1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1295213494 | Shima Abdulhameed A Aziz | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Ochsner Clinic Foundation, New Orleans, LA 70121 | 2018-07-31 |
| 1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
| 1396240909 | Jasmine Kaur Bahd | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Highway, Academic Center 1st Floor, New Orleans, LA 70121 | 2018-03-26 |
| 1649774480 | William Shamus Rohn | Student in an Organized Health Care Education/Training Program | 137 Jules Ave, Jefferson, LA 70121 | 2018-03-19 |
| 1295262665 | Uday Shanker Nadimpally | Student in an Organized Health Care Education/Training Program | Ochsner Clinic Foundation, 1514, Jefferson Hwy, New Orleans, LA 70121 | 2017-05-17 |
| 1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
| Find all providers in zip 70121 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033536529 | David Leslie | Orthopaedic Surgery | 1201 S Clearview Pkwy Bldg B, Jefferson, LA 70121-1015 | 2014-03-24 |
| 1013574961 | Ochsner Clinic Foundation | Orthopaedic Surgery | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2019-05-28 |
| 1114303443 | Christopher Malone | Orthopaedic Surgery | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003337478 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 309 Mcmillan Rd, West Monroe, LA 71291-5323 | 2017-07-06 |
| 1669926887 | Kindl Works LLC | Orthopaedic Surgery | 1570 Lindberg Dr Ste 6, Slidell, LA 70458 | 2016-08-04 |
| 1215290580 | Paul Phillips Iv | Orthopaedic Surgery | 478 S Johnson St Fl 6, New Orleans, LA 70112-2238 | 2012-06-20 |
| 1295938892 | Michael Jesse Mcnulty Iv | Orthopaedic Surgery | 3800 Houma Boulevard, Suite 200, Metairie, LA 70006 | 2007-06-09 |
| 1205925070 | Ronald D. Sylvest | Orthopaedic Surgery | 7414 Picardy, Ste A, Baton Rouge, LA 70808 | 2006-10-12 |
| 1306823596 | Wk North Orthopedic Clinic | Orthopaedic Surgery | 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 | 2005-12-28 |
| 1336144757 | William S Bundrick | Orthopaedic Surgery | 2449 Hospital Dr Ste 200, Bossier City, LA 71111-2382 | 2005-06-14 |
| 1891216263 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 707 S Vienna St, Ruston, LA 71270-5845 | 2017-07-06 |
| 1154876670 | Orthobr LLC | Orthopaedic Surgery | 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 | 2016-08-25 |
| 1700223278 | Robert Nelson Mead | Orthopaedic Surgery | 1430 Tulane Ave, New Orleans, LA 70112 | 2013-05-23 |
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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.