Jianming Song (NPI# 1073702817, PAC ID# 5991885360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073702817 |
| PAC ID by PECOS | 5991885360 |
| Professional Enrollment ID | I20080110000537 |
| Full Name | Jianming Song |
| Organization Legal Name | BLUE MOUNTAIN HOSPITAL DISTRICT |
| Address |
170 Ford Rd John Day OR 97845-2009 |
| Phone Number | 5415751311 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5193719219 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381305 | BLUE MOUNTAIN HOSPITAL |
| 501314 | OCEAN BEACH HOSPITAL |
| 501317 | COLUMBIA BASIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3927 Rucker Ave, Everett, WA 98201-4833 | 4253393930 | THE EVERETT CLINIC PLLC |
| 170 Ford Rd, John Day, OR 97845-2009 | 5415751311 | BLUE MOUNTAIN HOSPITAL DISTRICT |
| Organization Legal Name | BLUE MOUNTAIN HOSPITAL DISTRICT |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raffaella S Betza | Family Medicine | Blue Mountain Hospital District | 180 Ford Rd, John Day, OR 97845-2009 |
| Juergen Lang | Emergency Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Janessa S Sickler | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Keith Thomas | General Surgery | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Kelly S Blair | General Surgery | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| David L Hall | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Cornelius J Peeples | Emergency Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Emily A Lieuallen | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Nora A Healey | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Cristino O Rodriguez | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Street Address |
170 FORD RD |
| City | JOHN DAY |
| State | OR |
| Zip | 97845-2009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Juergen Lang | Emergency Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Janessa S Sickler | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Keith Thomas | General Surgery | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Kelly S Blair | General Surgery | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| David L Hall | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Cornelius J Peeples | Emergency Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Emily A Lieuallen | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Nora A Healey | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Cristino O Rodriguez | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Zachary Bailey | Family Medicine | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Michael Archibald | Optometry | 401 W Main St, Suite A, John Day, OR 97845-1075 | |
| Charles A Caughlin | Chiropractic | 155 Nw 1st Ave, John Day, OR 97845-1101 | |
| Karen S Triplett | Nurse Practitioner | Community Counseling Solutions | 528 E Main St E, Grant County Health Department, John Day, OR 97845-1289 |
| Kristin H Lubell | Nurse Practitioner | Community Counseling Solutions | 528 E Main St E, Grant County Health Department, John Day, OR 97845-1289 |
| Melanie S Arntz | Nurse Practitioner | Community Counseling Solutions | 528 E Main St E, Grant County Health Department, John Day, OR 97845-1289 |
| Jessica J Furka | Nurse Practitioner | Community Counseling Solutions | 528 E Main St E, Grant County Health Department, John Day, OR 97845-1289 |
| Raffaella S Betza | Family Medicine | Blue Mountain Hospital District | 180 Ford Rd, John Day, OR 97845-2009 |
| Shawna Arlene Clark | Nurse Practitioner | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Rodney V Carpenter | Certified Registered Nurse Anesthetist | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Rolf H Jarnes | Certified Registered Nurse Anesthetist | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
| Find all physicians in zip 97845 | |||
| City | JOHN DAY |
| Zip Code | 97845 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JOHN DAY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jianming 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.