KATHY SONG PA-C
NPI 1396095360
Physician Assistant - Medical in Stroud, OK
NPI Status: Active since September 17, 2012
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About KATHY SONG
This page provides the complete NPI Profile along with additional information for Kathy Song, a primary care provider established in Stroud, Oklahoma with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1396095360 assigned on September 2012. The practitioner's primary taxonomy code is 363AM0700X with license number 1287 (AL). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1396095360
- Provider Name
- KATHY SONG PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 356110 E 930 RD STROUD, OK 74079
- Location Phone
- (918) 968-9531
- Mailing Address
- 2868 ACTON RD VESTAVIA, AL 35243
- Mailing Phone
- (205) 379-6075
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-17-2012
- Last Update Date
- 09-03-2019
- Code Navigator
A primary care provider (PCP) like Kathy Song sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1287
- License State
- AL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 2160 (OK) |
Medicare Participation & PECOS Enrollment Status
Kathy Song is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r
This is a test to detect the COVID-19 virus. It uses a technique that amplifies the virus's genetic material (DNA or RNA) for detection. High throughput technologies are used for rapid and large-scale testing. The procedure is completed within a set time frame.
This service was performed 13 times for 12 patientsThis is a test for COVID-19. It uses high-tech methods to find the virus's genetic material in your body. The amplified probe technique helps detect the virus even in small amounts. This is crucial for early detection and effective treatment.
This service was performed 15 times for 14 patientsReviews for KATHY SONG PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 0 | 9 | 5 | 3 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 0 | 9 | 10 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 0 + 9 + 1 + 0 + 3 + 1 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1396095360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1851665780 | SHARLYN KENNON Individual | Community Health Worker | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1386070530 | TYLER AUSTIN ROLETTE D.P.T. Individual | Physical Therapist | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1437553476 | DR. GREGORY DUNLEVY PT, DPT, CSCS Individual | Physical Therapist | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1699296905 | DR. CAMARON EUGENE SNIDER PHARMD Individual | Pharmacist | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1679942585 | JAYNE DEANNE FORTENBERRY CNP-FAMILY Individual | Nurse Practitioner (Family) | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1871663203 | SAC & FOX NATION Organization | Clinic/Center | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1285799841 | GARY R. KINDELL M.D. Individual | Family Medicine | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1902689599 | TOBY HILL Individual | Case Manager/Care Coordinator | 356110 E 930 RD STROUD, OK 74079 (918) 509-7013 |
| 1891572772 | MRS. AMBER DAWN MORGAN APRN Individual | Family Medicine | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1447005822 | LACY JEAN CARROLL Individual | Peer Specialist | 356110 E 930 RD STROUD, OK 74079 (918) 968-3531 |
| 1215770169 | CIERRA DAWN LAYMAN LPN Individual | Licensed Practical Nurse | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1639912397 | AISLINN MAE MUNSON Individual | Nurse's Aide | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1922841733 | ASHLEY DAWN ALLEN Individual | Licensed Practical Nurse | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1922841873 | ROSA DAWN KINSLOW Individual | Nurse's Aide | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
| 1982426821 | SARAH RUTH ANN ROE PHARMD Individual | Pharmacist | 356110 E 930 RD STROUD, OK 74079 (918) 968-9531 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396095360, enumerated in the NPI registry as an "individual" on September 17, 2012
The provider is located at 356110 E 930 Rd Stroud, Ok 74079 and the phone number is (918) 968-9531
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within and Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r.
This NPI record was last updated on September 17, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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