Soon Il Song (NPI# 1063464386, PAC ID# 1759381213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1063464386 |
| PAC ID by PECOS | 1759381213 |
| Professional Enrollment ID | I20110802000424 |
| Full Name | Soon Il Song |
| Organization Legal Name | ANTHONY L. JORDAN HEALTH CORPORATION |
| Address |
82 Holland St Rochester NY 14605-2131 |
| Phone Number | 5854235800 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8729079785 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330285 | STRONG MEMORIAL HOSPITAL |
| 330125 | ROCHESTER GENERAL HOSPITAL |
| 330164 | HIGHLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 82 Holland St, Rochester, NY 14605-2131 | 5854235800 | ANTHONY L. JORDAN HEALTH CORPORATION |
| Organization Legal Name | ANTHONY L. JORDAN HEALTH CORPORATION |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Betteley Wang | Family Medicine | Anthony L. Jordan Health Corporation | 322 Lake Ave, Rochester, NY 14608-1162 |
| Lawrence Shawndel Brumfield | Nurse Practitioner | Anthony L. Jordan Health Corporation | 125 St Paul St, Rochester, NY 14609-1203 |
| Melanie Murphy | Nurse Practitioner | Anthony L. Jordan Health Corporation | 666 Plymouth S Ave, Rochester, NY 14608-2766 |
| Kevin A Fiscella | Family Medicine | Anthony L. Jordan Health Corporation | 480 Genesee St, Rochester, NY 14611-3634 |
| Terri M Ragin | Physician Assistant | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Mary C Angerame | Nurse Practitioner | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Laurie J Donohue | Family Medicine | Anthony L. Jordan Health Corporation | 322 Lake Ave, Rochester, NY 14608-1162 |
| Hollis Ann Biggs | Nurse Practitioner | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Heidi R Zinkand | Family Medicine | Anthony L. Jordan Health Corporation | 322 Lake Ave, Rochester, NY 14608-1162 |
| Nashat Atalla | Internal Medicine | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Street Address |
82 HOLLAND ST |
| City | ROCHESTER |
| State | NY |
| Zip | 14605-2131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Angerame | Nurse Practitioner | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Hollis Ann Biggs | Nurse Practitioner | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Nashat Atalla | Internal Medicine | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Lorinda F Parks | Family Medicine | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Fanny Siman Lean Ho | Nurse Practitioner | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Rosamond Reffell-pugh | Nurse Practitioner | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Basya V Herbert | Family Medicine | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Liz Munoz | Family Medicine | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Sara Joyce Genovese | Family Practice | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Ellen M Ingram | Nurse Practitioner | Anthony L. Jordan Health Corporation | 82 Holland St, Rochester, NY 14605-2131 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri M Ragin | Physician Assistant | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Justin Cherubim | Emergency Medicine | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Roger J Chapman | Physician Assistant | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Rachel L Garofalo | Physician Assistant | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Emily Jade Zeafla | Physician Assistant | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Thomas Robert Gregg | Family Medicine | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Tina Hopkins | Nurse Practitioner | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Benjamin Ray Christensen | Obstetrics/gynecology | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Steven G Becker | Optometry | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Karen Nicole Finklea | Physician Assistant | Anthony L. Jordan Health Corporation | 273 Upper Falls Blvd, Rochester, NY 14605-2131 |
| Find all physicians in zip 14605 | |||
| City | ROCHESTER |
| Zip Code | 14605 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ROCHESTER + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Soon Il 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.