Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972006567 Individual Practitioner Female Practitioner

Dr. Jennifer Song , DO

Pediatrics • Bellevue, WA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Jennifer Song, DO is a registered healthcare professional specializing in Pediatrics in Bellevue, WA. Official NPI practice address is registered at 3633 136TH PL SE STE 110.

Practice Location & Contact Primary Location

Practice Address

3633 136th Pl Se Ste 110

Bellevue, WA 980061451

Telephone 4257477202
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.4 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
84 Specialists

Practicing in Bellevue, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA OP61418040

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License PA OT020156

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1043331945

Doctor of Medicine (M.D.)

NPI 1124192307

Doctor of Medicine (M.D.)

NPI 1154429504

Doctor of Medicine (M.D.)

NPI 1194890913

Doctor of Medicine (M.D.)

NPI 1396819504

Advanced Registered Nurse Practitioner

NPI 1437544335

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location April 11, 2024

Registered at 3633 136TH PL SE STE 110, BELLEVUE, WA 980061451 (Tel: 4257477202)

📍
Updated Practice Location June 07, 2023

Registered at 2475 140TH AVE NE, BELLEVUE, WA 980051892 (Tel: 4254605600)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2020

Pediatrics (License #OT020156 in PA)

📍
Updated Practice Location May 03, 2020

Registered at 160 E ERIE AVE, PHILADELPHIA, PA 191341011 (Tel: 2154278846)

📍
Updated Business Mailing Address May 03, 2020

Registered at 160 E ERIE AVE, PHILADELPHIA, PA 191341011

👤
Provider Name / Credentials Updated May 03, 2020

Recorded as JENNIFER SONG, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2020

Student in an Organized Health Care Education/Training Program

NPI Profile Active March 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2018

Registered at 955 POWELL AVE SW, RENTON, WA 980572908 (Tel: 4252771311)

📍
Updated Business Mailing Address March 09, 2018

Registered at 955 POWELL AVE SW, RENTON, WA 980572908

👤
Provider Name / Credentials Updated March 09, 2018

Recorded as JENNIFER SONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972006567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2018
Last Update: April 11, 2024
Sole Proprietor: No

Mailing Address

160 E Erie Ave

Philadelphia, PA 191341011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.