Min Soo Song (NPI# 1053575340, PAC ID# 0648320390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1053575340 |
| PAC ID by PECOS | 0648320390 |
| Professional Enrollment ID | I20090618000219 |
| Full Name | Min Soo Song |
| Organization Legal Name | NORTH WORCESTER GASTROENTEROLOGY, P.C. |
| Address |
105 Erdman Way Leominster MA 01453-1805 |
| Phone Number | 9784667800 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 7113069899 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220001 | HEALTHALLIANCE HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 105 Erdman Way, Leominster, MA 01453-1805 | 9784667800 | NORTH WORCESTER GASTROENTEROLOGY, P.C. |
| Organization Legal Name | NORTH WORCESTER GASTROENTEROLOGY, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wankin J Yu | Gastroenterology | North Worcester Gastroenterology, P.C. | 105 Erdman Way, Leominster, MA 01453-1805 |
| Street Address |
105 ERDMAN WAY |
| City | LEOMINSTER |
| State | MA |
| Zip | 01453-1805 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michaela J Hubbard | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Marco Loi | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Shari D Lurie | Anesthesiology | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Timothy F Ayers | Anesthesiology | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Catherine Wahl Woodward | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Liliane Yacoub | Pathology | Center for Digestive Wellness PC | 105 Erdman Way, Leominster, MA 01453-1805 |
| Beth S Ralston | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Joseph D Bertrand Jr. | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Elaine M Sullivan | Certified Registered Nurse Anesthetist (crna) | Gbaa Holdings Pllc | 105 Erdman Way, Leominster, MA 01453-1805 |
| Wankin J Yu | Gastroenterology | North Worcester Gastroenterology, P.C. | 105 Erdman Way, Leominster, MA 01453-1805 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Miriam Yelen | Optometry | 875 Merriam Ave, Suite 127, Leominster, MA 01453-1236 | |
| Saundra A Ferrera | Optometry | Visionary Eye Care LLC | 875 Merriam Ave, Suite 127, Leominster, MA 01453-1236 |
| Dawn E Mcmillan | Clinical Social Worker | Community Healthlink Inc | 100 Erdman Way, Leominster, MA 01453-1804 |
| Anastasia S Rizos | Psychiatry | Community Healthlink Inc | 100 Erdman Way, Leominster, MA 01453-1804 |
| Whitney Ann-elizanbeth Dunlap | Allergy/immunology | Northeast Allergy, Asthma and Immunology, PC | 79 Erdman Way, Suite 101, Leominster, MA 01453-1805 |
| Mudita Gogna | Allergy/immunology | Northeast Allergy, Asthma and Immunology, PC | 79 Erdman Way, Suite 101, Leominster, MA 01453-1805 |
| Francisco A Bonilla | Allergy/immunology | Northeast Allergy, Asthma and Immunology, PC | 79 Erdman Way, Suite 101, Leominster, MA 01453-1805 |
| Jordan E Scott | Allergy/immunology | Northeast Allergy, Asthma and Immunology, PC | 79 Erdman Way, Suite 101, Leominster, MA 01453-1805 |
| David E Riester | Allergy/immunology | Northeast Allergy, Asthma and Immunology, PC | 79 Erdman Way, Suite 101, Leominster, MA 01453-1805 |
| Lauren M. Handelman | Allergy/immunology | Northeast Allergy, Asthma and Immunology, PC | 79 Erdman Way, Suite 101, Leominster, MA 01453-1805 |
| Find all physicians in zip 01453 | |||
| City | LEOMINSTER |
| Zip Code | 01453 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | LEOMINSTER + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Min Soo Song.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.