Tae J Song (NPI# 1679749188, PAC ID# 8426121096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1679749188 |
| PAC ID by PECOS | 8426121096 |
| Professional Enrollment ID | I20080716000206 |
| Full Name | Tae J Song |
| Organization Legal Name | TAE J SONG DPM INC |
| Address |
429 Redcliff Dr Suite 100 Redding CA 96002-0167 |
| Phone Number | 5302440674 |
| Gender | M |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 5294914214 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050280 | MERCY MEDICAL CENTER REDDING |
| Address | Phone | Organization |
|---|---|---|
| 429 Redcliff Dr, Suite 100, Redding, CA 96002-0167 | 5302440674 | TAE J SONG DPM INC |
| 429 Redcliff Dr, Redding, CA 96002-0167 | 5302440674 | TAE J SONG DPM INC |
| Organization Legal Name | TAE J SONG DPM INC |
| Physicians | 1 |
| Street Address |
429 REDCLIFF DR SUITE 100 |
| City | REDDING |
| State | CA |
| Zip | 96002-0167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Yeager | Podiatry | 429 Redcliff Dr, Suite 100, Redding, CA 96002-0167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Ekelund | Optometry | 2190 Larkspur Lane, Suite 200, Redding, CA 96002 | |
| John S Van Der Werff | Dentist | 2315 Bechelli Ln, Redding, CA 96002-0119 | |
| Edmond E Salera | Chiropractic | 457 Knollcrest Dr, Suite 120, Redding, CA 96002-0121 | |
| Stephen Thomas Hecht | Interventional Radiology | Advanced Imaging of Redding Inc | 2380 Bechelli Ln, Redding, CA 96002-0144 |
| Melinda L Adams | Clinical Social Worker | 448 Redcliff Dr, Suite 116, Redding, CA 96002-0159 | |
| George Bronson Scripture Iii | Clinical Social Worker | 448 Redcliff Dr, Suite 120, Redding, CA 96002-0159 | |
| Dennis Merle Thompson | Clinical Social Worker | 448 Redcliff Dr, Redding, CA 96002-0159 | |
| Richard P Musselman | Family Medicine | Docs Medical Group Inc | 100 E Cypress Ave, Redding, CA 96002-0162 |
| Alice E Brayshaw | Physician Assistant | Docs Medical Group Inc | 100 E Cypress Ave, Redding, CA 96002-0162 |
| Albert Gordon Lui | Family Medicine | Docs Medical Group Inc | 100 E Cypress Ave, Redding, CA 96002-0162 |
| Find all physicians in zip 96002 | |||
| City | REDDING |
| Zip Code | 96002 |
| Specialty | PODIATRY |
| City + Specialty | REDDING + PODIATRY |
Please comment or provide details below to improve the information on Tae J 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.