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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. SUNGMIN SONG MD
NPI 1225957392
Student in an Organized Health Care Education/Training Program in Du Bois, PA

Active since July 13, 2026
145 HOSPITAL AVE STE 315, DU BOIS, PA 15801(814) 503-4305(814) 503-4307 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Jul 13, 2026 (2 updates tracked since 2026).

About Mr. Sungmin Song Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SUNGMIN SONG MD (NPI 1225957392) is an individual student in an organized health care education/training program in Du Bois, Pennsylvania, licensed in Pennsylvania (MT236553) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1225957392
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SUNGMIN SONGCredential: MD
Location Address145 HOSPITAL AVE STE 315Du Bois, PA 15801-1465
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232
Phone(814) 503-4305
Fax(814) 503-4307
Sole ProprietorNo
Enumeration DateJuly 13, 2026
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1225957392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · MT236553
Definition
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MT236553 (PA)
145 HOSPITAL AVE STE 315, Du Bois, PA 15801
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARSA KHOSRAVIAN MD
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Clearfield County (814) 503-4305
EVRARD TCHAPDA MD
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Clearfield County (814) 503-4305
GRANT W SCHIRMER DO
Family Medicine
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Clearfield County (814) 503-4305
ANDREW O'DONNELL DO
Family Medicine
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Clearfield County (814) 503-4305
GABRIELLE ROSALEE PAPIA DO
Family Medicine
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Clearfield County (814) 503-4305
DERRICK SANG-VINH NGUYEN DO
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Clearfield County (814) 503-4305
AMBER NICOLE PERRY DO
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Clearfield County (814) 503-4305
MARY KATHRYN MACAULAY MCGREGOR MD
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Clearfield County (814) 503-4305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sungmin Song's NPI number?

The NPI number for Sungmin Song is 1225957392. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Sungmin Song located?

Sungmin Song practices at 145 Hospital Ave Ste 315, Du Bois, PA 15801. The listed phone number is (814) 503-4305.

What is Sungmin Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sungmin Song was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.