DR. YOON SANG SONG (NPI# 1952868804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952868804 |
| Entity Type | Individual |
| Full Name | DR. YOON SANG SONG |
| Credential | DC |
| Practice Address |
6115 Woodland Ave Philadelphia PA 19142-2418 |
| Mailing Address |
525 W Chester Pike Ste 103a Havertown PA 19083-4539 |
| Practice Telephone | 2156459200 |
| Practice Fax Number | 2673383303 |
| Mailing Telephone | 6107893678 |
| Mailing Fax Number | 6107893679 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-03-12 |
| NPI Deactivation Date | 02/28/2019 |
| NPI Reactivation Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC011458 | PA | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 525 W Chester Pike Ste 103a, Havertown, PA 190834539 | 6107893678 | 6107893679 |
| Street Address |
6115 WOODLAND AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19142-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449782 | Summit Health and Wellness LLC | Clinic/Center | 6200 Woodland Ave, 62nd Woodland Ave. Woodland Village Shopping Center, Philadelphia, PA 19142 | 2020-08-25 |
| 1275187742 | Dolls Homecare Agency, LLC. | Home Health | 6440 Garman Street, Philadelphia, PA 19142 | 2019-08-01 |
| 1467921015 | Francis Chiejine | Registered Nurse | 6200-b Woodland Ave, 2nd Floor, Philadelphia, PA 19142 | 2018-11-13 |
| 1689142887 | Rachel B Reed | Social Worker | 6120-b Woodland Ave., 2nd Floor, Philadelphia, PA 19142 | 2018-11-06 |
| 1881193860 | Pa Pain and Rehab | Chiropractor | 6325 Woodland Avenue, Philadelphia, PA 19142 | 2018-02-06 |
| 1710402748 | Daniel Ermilus | Home Health Aide | 6533 Linmore Ave, Philadelphia, PA 19142 | 2017-08-10 |
| 1669710844 | Yen-pei Huang | Counselor | 7042 Elmwood Ave., Philadelphia, PA 19142 | 2013-01-23 |
| 1104110311 | Annette Deigh | Social Worker | 6120b Woodland Avenue, Philadelphia, PA 19142 | 2011-06-06 |
| 1992096051 | Rath Sun | Pharmacy Technician | 2843 Bittern Place, Philadelphia, PA 19142 | 2011-04-25 |
| 1245538016 | Thomas Mccluskey | Social Worker | 7042 Elmwood Avenue, Philadelphia, PA 19142 | 2011-03-03 |
| Find all providers in zip 19142 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628540 | Citywide North, PC | Chiropractor | 2304-a North Broad Street, Philadelphia, PA 19132-4563 | 2020-10-26 |
| 1598313488 | Dev Avinash Rajhansa | Chiropractor | 101 W Allens Ln, Philadelphia, PA 19119-4101 | 2019-09-03 |
| 1861059859 | Joshua James Kramarenko | Chiropractor | 1608 Walnut St Ste 601, Philadelphia, PA 19103-5447 | 2019-05-24 |
| 1306409024 | Danielle Louise Walsh | Chiropractor | 3500 Scotts Ln Ste 215, Philadelphia, PA 19129-1836 | 2019-04-18 |
| 1104381011 | Anthony James Havens Jr. | Chiropractor | 6006 Chestnut St Fl 1, Philadelphia, PA 19139-3044 | 2019-02-05 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1710467626 | Darin Mathew Daniel | Chiropractor | 2216 W Passyunk Ave, Philadelphia, PA 19145-3318 | 2018-08-20 |
| 1780184952 | Chelsea Ann Mclane | Chiropractor | 430 Green Ln, Philadelphia, PA 19128-3304 | 2018-02-14 |
| 1881193860 | Pa Pain and Rehab | Chiropractor | 6325 Woodland Avenue, Philadelphia, PA 19142 | 2018-02-06 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19142 |
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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.