JOHN Y SONG


Address: 516 Delaware Street Se, Pwb Third Floor, Clinic 3a, Minneapolis, MN 55455
Phone: 6128840999

JOHN Y SONG (NPI# 1588745988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588745988
Entity Type Individual
Full Name JOHN Y SONG
Credential MD
Practice Address 516 Delaware Street Se
Pwb Third Floor, Clinic 3a
Minneapolis
MN 55455
Mailing Address 420 Delaware Street Se
University of Minnesota Physicians
Minneapolis
MN 55455
Practice Telephone 6128840999
Enumeration Date 2006-10-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 42573 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN HEALTH PARTNERS HP30502 01
MN BLUE CROSS BLUE SHIELD 75R47SO 01
MN MEDICA CHOICE 04-01541 01
ND 10387 05
MN UCARE 104698 01
MN ARAZ 942845 01
IA 0530824 05
MN PREFERRED ONE 1023329 01
SD 7777470 05
MN MEDICA PRIMARY 04-01536 01

Other Providers JOHN SONG

NPI Name Taxonomy Address Enumeration
1134559164 John Kyu Song Acupuncturist 9825 N Indian Trail Rd, Spokane, WA 99208-9359 2013-11-12
1356416168 John Song Internal Medicine 9040 Jackson Ave Int Med Dom, Tacoma, WA 98431-7324 2006-11-21
1922099084 John K. Song Neurological Surgery 3000 N. Halsted, Suite 703, Chicago, IL 60657 2005-10-28
1730207382 John Song Dentist 2730 Wilshire Blvd, Suite 460, Santa Monica, CA 90403-4831 2007-03-26
1093808446 John Song Otolaryngology 13123 E 16th Ave, Aurora, CO 80045-7106 2006-09-30

Office Location

Street Address 516 DELAWARE STREET SE
PWB THIRD FLOOR, CLINIC 3A
City MINNEAPOLIS
State MN
Zip Code 55455

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932193083 Daniel James Guillaume Neurological Surgery 516 Delaware Street Se, Ump Neurosurgery Clinic, Minneapolis, MN 55455 2005-09-06
1194042689 Amy Ann Mrazek Surgery 516 Delaware Street Se, Pwb 11-145e, Mmc 195, Minneapolis, MN 55455 2010-04-23
1932340213 Daniel Joshua Steinberger Radiology 516 Delaware Street Se, Umphysicians Imaging Center, Minneapolis, MN 55455 2009-03-16
1518129071 Torfi Thorkell Hoskuldsson Surgery 516 Delaware Street Se, Ump Surgery Clinic, Minneapolis, MN 55455-0356 2008-06-26
1659407708 Deanna G.k. Teoh Obstetrics & Gynecology 516 Delaware Street Se, Women's Health Center, Minneapolis, MN 55455 2007-02-25
1295877702 Kelly Renee Dietz Radiology 516 Delaware Street Se, Umphysicians Imaging Center, Minneapolis, MN 55455-0341 2007-02-12
1417031279 Carrie Kissling Registered Nurse 516 Delaware Street Se, Pwb Third Floor, Clinic 3b, Minneapolis, MN 55455 2006-10-25
1295819498 Anna Petryk Pediatrics 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 2006-10-24
1972687366 Jonathan I Ravdin Internal Medicine 516 Delaware Street Se, Pwb Sixth Floor, Clinic 6b, Minneapolis, MN 55455 2006-10-24
1588748818 Michael J Potegal Clinical Neuropsychologist 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 2006-10-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1982213237 Yue Hu Dentist 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 2020-07-23
1952922148 Jacob Laurence Tigner Student in an Organized Health Care Education/Training Program 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 2020-04-29
1710507538 Rachael Grundman Student in an Organized Health Care Education/Training Program 420 Delaware St, Mmc 395, Minneapolis, MN 55455 2020-04-22
1497375240 Sanjay Dhawan Student in an Organized Health Care Education/Training Program 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 2020-04-22
1508486549 Dariel Andres Diaz Student in an Organized Health Care Education/Training Program 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 2020-04-20
1275186280 Kerem Ozturk Radiology B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 2019-07-18
1275194631 Andres Jose Gonzalez Coba Student in an Organized Health Care Education/Training Program 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 2019-06-26
1841850278 Brendan Andrew Schleyer Dentist 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 2019-06-18
1932767399 Claire-audrey Y Bayan Student in an Organized Health Care Education/Training Program 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 2019-05-31
Find all providers in zip 55455

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861032054 David Gregg Internal Medicine 5305 Humboldt Ave S, Minneapolis, MN 55419 2020-01-15
1316454077 Independent Medical Clinic Pa Internal Medicine 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 2018-01-03
1669905618 Joseph Douglas Steffens Internal Medicine 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 2017-04-06
1841650306 Megan Mcgovern Internal Medicine 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 2016-02-26
1700266079 Jacob Wagner Internal Medicine D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 2015-06-02
1659750503 Melissa Ann Plesac Internal Medicine 500 Harvard St Se # 741, Minneapolis, MN 55455 2015-05-26
1033503040 Elizabeth Stanton Teter Aby Internal Medicine 406 Harvard St Se # Mmc36, Minneapolis, MN 55455-0362 2015-03-27
1780002592 Annie M Jacobsen Internal Medicine 701 Park Avenue South--medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 2014-03-31
1386066173 Michael Usher Internal Medicine 420 Delaware Street, Se, Mmc 741, Division of General Internal Medicine, Minneapolis, MN 55455 2014-01-13
1356684609 Anteneh Girma Zewde Internal Medicine 87 Orlin Ave Se, Minneapolis, MN 55414-3560 2013-04-04
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55455

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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