DR. TAE J SONG (NPI# 1679749188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679749188 |
| Entity Type | Individual |
| Full Name | DR. TAE J SONG |
| Credential | DPM |
| Practice Address |
1310 Continental St Redding CA 96001-0839 |
| Practice Telephone | 5302415335 |
| Mailing Telephone | 5302415335 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E 4773 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821441825 | Tae Jin Song | Dentist | 103 E Ovilla Rd, Red Oak, TX 75154-2490 | 2016-07-14 |
| 1346591906 | Tae Gon Song | Dentist | 507 N Galloway Ave, Mesquite, TX 75149-3405 | 2012-09-24 |
| 1053564732 | Tae H Song | Surgery | 55 Fruit St, Blake 1570, Boston, MA 02114-2621 | 2008-10-28 |
| 1043407430 | Tae Kyung Song | Surgery | 300 Pasteur Dr, Room H3600, Stanford, CA 94305-2200 | 2007-09-28 |
| Street Address |
1310 CONTINENTAL ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245403666 | Oliver Dale Bagley D.p.m., Inc. | Podiatrist | 1310 Continental St, Redding, CA 96001-0839 | 2008-04-07 |
| 1235606161 | David Emery | Marriage & Family Therapist | 1310 Continental St, Redding, CA 96001-0839 | 2018-10-29 |
| 1871010595 | Gloria J Cannelora | Social Worker | 1310 Continental St, Redding, CA 96001-0839 | 2017-08-23 |
| 1942519392 | Tae J Song Dpm Inc | Podiatrist | 1310 Continental St, Redding, CA 96001-0839 | 2010-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245403666 | Oliver Dale Bagley D.p.m., Inc. | Podiatrist | 1310 Continental St, Redding, CA 96001-0839 | 2008-04-07 |
| 1073530671 | Susan M Yeager | Podiatrist | 429 Redcliff Dr Ste 100, Redding, CA 96002-0167 | 2006-07-17 |
| 1770548562 | John Charles Williams | Podiatrist | 1950 Rosaline Ave Ste F, Redding, CA 96001-2543 | 2006-04-18 |
| 1689106882 | Garret Strand | Podiatrist | 1255 Liberty St, Redding, CA 96001-0814 | 2017-03-28 |
| 1942519392 | Tae J Song Dpm Inc | Podiatrist | 1310 Continental St, Redding, CA 96001-0839 | 2010-10-04 |
| 1831402155 | Jason Daniel Nowak | Podiatrist | 1255 Liberty St, Redding, CA 96001-0814 | 2010-07-15 |
| 1326223744 | American Foot Care Products Inc | Podiatrist | 923 Dana Dr, Ste 5, Redding, CA 96003 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
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| 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.