XIANYUAN SONG (NPI# 1902002249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902002249 |
| Entity Type | Individual |
| Full Name | XIANYUAN SONG |
| Credential | MD |
| Practice Address |
80 Seymour Street Hartford CT 06102-5037 |
| Mailing Address |
99 East River Dr East Hartford CT 06108-7301 |
| Practice Telephone | 8605452249 |
| Practice Fax Number | 8605452204 |
| Mailing Telephone | 8602820833 |
| Mailing Fax Number | 8602820170 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
47299 | CT | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
47299 | CT | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
47299 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
80 SEYMOUR STREET |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323426 | Rohini Ruth Becherl | Family Medicine | 80 Seymour Street, Hartford Hospital Geriatrics Program, Hartford, CT 06102-5037 | 2005-06-01 |
| 1588283584 | Dana Wells Mcpherson | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2020-04-10 |
| 1619523388 | Thomas John Basil | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-08-17 |
| 1275188161 | Sara E Hughes | Nurse Practitioner | 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 | 2019-08-07 |
| 1790339166 | Jared C Walsh | Physician Assistant | 80 Seymour Street, Cvo Provider Enrollment, Hartford, CT 06102-8000 | 2019-07-24 |
| 1740848803 | Tara J Dempsey | Physician Assistant | 80 Seymour Street, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 | 2019-06-04 |
| 1790349488 | Mark J Sorel | Physician Assistant | 80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, CT 06102-8000 | 2019-04-28 |
| 1528521408 | Kelly Nguyen | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-04-09 |
| 1821558461 | Alysse K Pazienza | Physician Assistant | 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 | 2019-03-20 |
| 1760956569 | Kathryn Vignati | Physician Assistant | 80 Seymour Street, Department of Surgery, Hartford, CT 06102-5037 | 2019-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1942734058 | Giorgi Kveladze | Internal Medicine | 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 | 2017-04-14 |
| 1902352248 | Safina Hafeez | Student in an Organized Health Care Education/Training Program | 80 Seymour Street Hartford Hospital, 3rd Floor Pathology, Hartford, CT 06102 | 2016-08-28 |
| 1154774990 | Neelam Khetpal | Internal Medicine | 80 Seymour St Bldg 502, Hartford, CT 06102 | 2016-07-17 |
| 1588073613 | Gene Pershwitz | Internal Medicine | 80 Seymour St Dept Jb704, Hartford, CT 06102 | 2014-08-02 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1548271141 | Pasquale F Finelli | Psychiatry & Neurology | 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 | 2006-08-10 |
| 1265474340 | Gary Francis Nobert | Obstetrics & Gynecology | Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 | 2006-06-12 |
| Find all providers in zip 06102 | ||||
| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972885010 | Declan Mcguone | Pathology | Yale Pathology, 20 York Street, Ep2-631, New Haven, CT 06510 | 2011-09-14 |
| 1609295781 | Marcello Michael Distasio Jr. | Pathology | 310 Cedar St, New Haven, CT 06510-3218 | 2014-04-15 |
| 1316171762 | Pallavi Padmapriya Gopal | Pathology | 20 York St # Ep2-631, New Haven, CT 06510-3220 | 2009-05-13 |
| 1124265665 | Alexander Vortmeyer | Pathology | 310 Cedar St, 416a Lauder Hall, New Haven, CT 06510-3218 | 2009-01-20 |
| 1518956937 | Jung H Kim | Pathology | 310 Cedar St, Lauder Hall Rm 108, New Haven, CT 06510-3218 | 2005-10-18 |
| 1336131861 | Qian Wu | Pathology | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-08-19 |
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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.