Christopher Song (NPI# 1043453624, PAC ID# 1355574617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1043453624 |
| PAC ID by PECOS | 1355574617 |
| Professional Enrollment ID | I20150811003803 |
| Full Name | Christopher Song |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
593 Eddy St Providence RI 02903-4923 |
| Phone Number | 4014444000 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 | 4016061004 | THE MIRIAM HOSPITAL |
| 2 Dudley St, Providence, RI 02905-3236 | 4014534500 | LIFESPAN PHYSICIAN GROUP INC |
| 593 Eddy St, Providence, RI 02903-4923 | 4014444000 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Brady Geronimo Case | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Street Address |
593 EDDY ST |
| City | PROVIDENCE |
| State | RI |
| Zip | 02903-4923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith Austin Scarfo | Anesthesiology | Rhode Island Hospital | 593 Eddy St, Providence, RI 02903-4923 |
| Halina Kuc-mazgaj | Nurse Practitioner | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Julie Morris | Psychologist, Clinical | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Martha C Trimbur | Internal Medicine | Brown Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Regina B Monteiro | Nurse Practitioner | Lifespan Physician Group Inc | 593 Eddy St, Apc 7, Providence, RI 02903-4923 |
| Arnaldo Adolfo Berges | Psychiatry | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Gregory R Lockhart | Pediatric Medicine | Brown Emergency Medicine | 593 Eddy St, Providence, RI 02903-4923 |
| Peter W Wolferseder | Certified Registered Nurse Anesthetist (crna) | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Marie A Mills | Certified Registered Nurse Anesthetist (crna) | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Courtney Clark Bilodeau | Internal Medicine | Lifespan Physician Group Inc | 593 Eddy St, Providence, RI 02903-4923 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenny R Donahue | Physical Therapy | Episcopal Housing Foundation of Rhode Island | 289 N Main St, Providence, RI 02903-1223 |
| Paige Elizabeth Caffrey | Occupational Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Marcy E Bernstein | General Surgery | Vohra Wound Physicians of Fl LLC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Sharon Ann Gapasin | Qualified Speech Language Pathologist | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Michael David Bertoncini | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Jonathan Sorensen | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Ann Marie Rameika | Nurse Practitioner | Practitioner Support Services LLP | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Amy Beth Ciarniello | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Dina Mccamish | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Alicia Marie Marshall | Occupational Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Find all physicians in zip 02903 | |||
| City | PROVIDENCE |
| Zip Code | 02903 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PROVIDENCE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Christopher 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.