Young S Song (NPI# 1770569105, PAC ID# 9830176429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1770569105 |
| PAC ID by PECOS | 9830176429 |
| Professional Enrollment ID | I20040701000759 |
| Full Name | Young S Song |
| Organization Legal Name | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| Address |
1221 Chersonese Round Mount Pleasant SC 29464-9545 |
| Phone Number | 9146662220 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1153649686 |
| Number of Group Practice Members | 117 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| 030094 | ARROWHEAD HOSPITAL |
| 420030 | COLLETON MEDICAL CENTER |
| 030110 | ABRAZO WEST CAMPUS |
| 030030 | ABRAZO CENTRAL CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 8330 Medical Plaza Dr, Charleston, SC 29406-9104 | 8667179687 | CHARLESTON RADIOLOGISTS PA |
| 1221 Chersonese Round, Mount Pleasant, SC 29464-9545 | 9146662220 | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| 1241 Woodland Ave, Mount Pleasant, SC 29464-3288 | 8438240606 | CHARLESTON RADIOLOGISTS PA |
| 1221 Chersonese Round, Mt Pleasant, SC 29464-9545 | 9525951100 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 1241 Woodland Ave, Mt Pleasant, SC 29464-3288 | 8438814020 | PELICAN II LLC |
| 2550 Elms Ctr Rd, North Charleston, SC 29406-9844 | 8667179687 | CHARLESTON RADIOLOGISTS PA |
| 295 Midland Pkwy, Summerville, SC 29485-8104 | 8667179687 | CHARLESTON RADIOLOGISTS PA |
| 501 Robertson Blvd, Walterboro, SC 29488-2787 | 8667179687 | CHARLESTON RADIOLOGISTS PA |
| Organization Legal Name | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lee Ward | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 2462 San Pietro Cir, Palm Beach Gardens, FL 33410-2970 |
| Rebecca Ann Flores | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 8916 Jodhpur, Fair Oaks Ranch, TX 78015-4298 |
| Scott A Werden | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 1345 Lillian Ave, Sunnyvale, CA 94087-3523 |
| Paul M Sherman | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 8060 Colonial Woods, Boerne, TX 78015-4992 |
| Rob Allen Reed | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 4495 Stony River Dr, Bloomfield Hills, MI 48301-3655 |
| Sarah Schwitzer | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Mahyar Ghanaat | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Gary D Kronfeld | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 865 Stone St, Rahway, NJ 07065-2742 |
| William Kainzbauer | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Laura Ioachim | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Street Address |
1221 CHERSONESE ROUND |
| City | MOUNT PLEASANT |
| State | SC |
| Zip | 29464-9545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Friar | Chiropractic | 1909 N Hwy 17, Suite I, Mount Pleasant, SC 29464 | |
| Frederick Shinners | Optometry | 1903 Hwy 17 N, Suite 100, Mt.pleasant, SC 29464 | |
| Carolyn R Word | Pediatric Medicine | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Andrew Evin Davidson | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Thomas Bailey Harper Iii | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Jeffrey J Dietrich | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Lindsey Paige Stoltz | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Bruce Ball | Allergy/immunology | Allergy and Asthma Consultants, LLP | 180 Wingo Way, Suite 102, Mt Pleasant, SC 29464-1807 |
| Tiffany L. Dellinger | Nurse Practitioner | Roper Saint Francis Physicians Network | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 |
| Lisa Carol Tabakian | Nurse Practitioner | Roper Saint Francis Physicians Network | 180 Wingo Way, Suite 110, Mt Pleasant, SC 29464-1810 |
| Find all physicians in zip 29464 | |||
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MOUNT PLEASANT + DIAGNOSTIC RADIOLOGY |
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| 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.