Jongwoo Song (NPI# 1073944732, PAC ID# 7416252218) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1073944732 |
| PAC ID by PECOS | 7416252218 |
| Professional Enrollment ID | I20160216001160 |
| Full Name | Jongwoo Song |
| Organization Legal Name | SOUTH SOUND INPATIENT PHYSICIANS PLLC |
| Address |
1415 E Kincaid St Mount Vernon WA 98274-4126 |
| Phone Number | 3604244111 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5991618738 |
| Number of Group Practice Members | 285 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500003 | SKAGIT VALLEY HOSPITAL |
| 500079 | MULTICARE GOOD SAMARITAN HOSPITAL |
| 500007 | ISLAND HOSPITAL |
| 501339 | WHIDBEYHEALTH MEDICAL CENTER |
| 501329 | PEACEHEALTH UNITED GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 3604244111 | SOUTH SOUND INPATIENT PHYSICIANS PLLC |
| 407 14th Ave Se, Puyallup, WA 98372-3770 | 2536974000 | SOUTH SOUND INPATIENT PHYSICIANS PLLC |
| Organization Legal Name | SOUTH SOUND INPATIENT PHYSICIANS PLLC |
| Physicians | 279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zina Hajduczok | Hospitalist | South Sound Inpatient Physicians Pllc | 101 N Main St, Coupeville, WA 98239-3413 |
| Miao Huang | Internal Medicine | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Adrienne E Soucy | Hospitalist | South Sound Inpatient Physicians Pllc | 10123 Se Market St, Portland, OR 97216-2532 |
| Robert D Church | Hospitalist | South Sound Inpatient Physicians Pllc | 4800 Cordova St, Anchorage, AK 99503-7218 |
| Stephen W Kormanyos | Hospitalist | South Sound Inpatient Physicians Pllc | 400 Nemother Jos Pl, Vancouver, WA 98664 |
| Rachel Hill May | Nurse Practitioner | South Sound Inpatient Physicians Pllc | 2901 Sqaulicum Pkwy, Bellingham, WA 98225-1851 |
| Suresh R Mereddy | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Saurav Poudyal | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Dolkar Sherpa | Hospitalist | South Sound Inpatient Physicians Pllc | 2520 Cherry Ave, Bremerton, WA 98310-4229 |
| Stephen J Focht | Hospitalist | South Sound Inpatient Physicians Pllc | 407 14th Ave Se, Puyallup, WA 98372-3770 |
| Street Address |
1415 E KINCAID ST |
| City | MOUNT VERNON |
| State | WA |
| Zip | 98274-4126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent A Fry | Physician Assistant | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Seth D Hartung | Critical Care (intensivists) | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Joseph E. Wilson | Obstetrics/gynecology | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Leah N Kiviat | Diagnostic Radiology | Skagit Digital Imaging LLC | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Abhinav Singla | Internal Medicine | South Sound Inpatient Physicians Pllc | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Masoud S Taleghani | Internal Medicine | South Sound Inpatient Physicians Pllc | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| David F Hoeft | Internal Medicine | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Eric Jacob Larsen | Nurse Practitioner | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Patti Jo Brettell | Neurology | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Samuel L Collins | Physician Assistant | Public Hospital Dist No 1 Skagit | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Lawson | Chiropractic | 400 E Division St, Mount Vernon, WA 98274-3924 | |
| John G Holden | Chiropractic | 400 E Division St, Mount Vernon, WA 98274-3924 | |
| Matthew C Bergen | Physical Therapy | Cascade Rehabilitation Associates LLC | 111 S 12th St, Suite B, Mount Vernon, WA 98274-4000 |
| Shelby E Echelbarger | Physical Therapy | Cascade Rehabilitation Associates LLC | 111 S 12th St, Suite B, Mount Vernon, WA 98274-4000 |
| Bryon Alexander Flett | Physical Therapy | Cascade Rehabilitation Associates LLC | 111 S 12th St, Suite B, Mount Vernon, WA 98274-4000 |
| Jamie L Southard | Chiropractic | 113 S 11th St, Mount Vernon, WA 98274-4025 | |
| Lauren B Jaye | Certified Nurse Midwife (cnm) | 1617 E Division St, Lauren Jaye Women's Healthcare LLC, Mt Vernon, WA 98274-4053 | |
| John T Register | Radiation Oncology | Kantorowitz and Whiton Pllc | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 |
| Naseem Afrasiabi Ghazanfari | Cardiovascular Disease (cardiology) | Public Hospital Dist No 1 Skagit | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 |
| Devyn Nicole Nixon | Nurse Practitioner | Public Hospital Dist No 1 Skagit | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 |
| Find all physicians in zip 98274 | |||
| City | MOUNT VERNON |
| Zip Code | 98274 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MOUNT VERNON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jongwoo 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.