DR. SONG KI YU (NPI# 1790770352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790770352 |
| Entity Type | Individual |
| Full Name | DR. SONG KI YU |
| Credential | DPM |
| Practice Address |
1817 Black Rock Tpke Ste 8 Advanced Medical Footcare Fairfield CT 06825-3546 |
| Mailing Address |
1817 Black Rock Tpke Ste 8 Fairfield CT 06825-3546 |
| Practice Telephone | 2033308080 |
| Practice Fax Number | 2033346924 |
| Mailing Telephone | 2033308080 |
| Mailing Fax Number | 2033346924 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2014-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 000764 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | DME | 5454010001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912927625 | Song Il Yu | Family Medicine | 33733 Us Highway 280, Childersburg, AL 35044-3017 | 2006-07-19 |
| 1942373089 | Song Yol Yu | Family Medicine | 319 W Delaware St, Decatur, MI 49045-1106 | 2006-11-16 |
| 1750354916 | Song Yu | Anesthesiology | 259 1st St, Mineola, NY 11501-3957 | 2006-02-08 |
| Street Address |
1817 BLACK ROCK TPKE STE 8 ADVANCED MEDICAL FOOTCARE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485633 | Carol A Callahan | Podiatrist | 1817 Black Rock Tpke, Ste 8, Fairfield, CT 06825-3546 | 2005-08-26 |
| 1316419732 | Emma S Cooke | Naturopath | 1817 Black Rock Tpke, Fairfield, CT 06825-3546 | 2018-12-24 |
| 1477024065 | Hannibal Miles | Naturopath | 1817 Black Rock Tpke, Fairfield, CT 06825-3546 | 2018-12-08 |
| 1386115970 | Katie Zinn | Naturopath | 1817 Black Rock Tpke, Fairfield, CT 06825-3546 | 2018-12-08 |
| 1891035176 | Home Healthcare of Fairfield County, LLC | Home Health | 1817 Black Rock Tpke, Fairfield, CT 06825-3546 | 2013-02-22 |
| 1811247067 | Robyn M Bilotta | Social Worker | 1817 Black Rock Tpke, Suite 102, Fairfield, CT 06825 | 2012-09-14 |
| 1548592561 | Cardinal Chiropractic, LLC | Clinic/Center | 1817 Black Rock Tpke, Suite 102, Fairfield, CT 06825-3546 | 2010-02-01 |
| 1760629232 | Black Rock Pediatrics | Pediatrics | 1817 Black Rock Tpke, Suite 206, Fairfield, CT 06825-3546 | 2009-01-20 |
| 1578700126 | Joel J Beaman | Dentist | 1817 Black Rock Tpke, Fairfield, CT 06825-3546 | 2009-01-17 |
| 1114163219 | Figen Ayse Baydur | Dentist | 1817 Black Rock Tpke, Fairfield, CT 06825-3546 | 2008-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1386984300 | Jr Podiatry LLC | Podiatrist | 10 Belair Dr, Fairfield, NJ 07004-1704 | 2013-02-28 |
| 1295031748 | Family Foot & Ankle Center Inc Pa | Podiatrist | 5400 Dixie Hwy, Suite G, Fairfield, OH 45014-7488 | 2011-02-01 |
| 1407089261 | Sean Michael Dougherty | Podiatrist | 1620 Pennsylvania Ave Ste A, Fairfield, CA 94533-3509 | 2009-08-27 |
| 1407047954 | Fairfield Podiatry Associates LLC | Podiatrist | 2321 Black Rock Turnpike, Fairfield, CT 06825-3220 | 2007-08-08 |
| 1053422634 | Stephen C. Burrows | Podiatrist | 2321 Black Rock Tpke, Fairfield, CT 06825-3220 | 2006-08-31 |
| 1447360557 | Eugene Frank Sherwood | Podiatrist | 1260 Nilles Rd, Bldg A-1, Fairfield, OH 45014-2912 | 2006-08-30 |
| 1902827496 | Deborah Ann Derose | Podiatrist | 880 Old Post Rd, Fairfield, CT 06824-8403 | 2006-07-21 |
| 1336116383 | Brian Short | Podiatrist | 6200 Pleasant Ave, Suite 3, Fairfield, OH 45014-4670 | 2006-03-08 |
| 1063494847 | Richard Herbert Aronoff | Podiatrist | 227 Bailey Rd, Fairfield, CT 06825-2607 | 2005-11-16 |
| Find all providers in FAIRFIELD | ||||
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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.