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MYUNG AE SONG D.O. , M.B.A.
NPI 1922130541
General Practice in Boise, ID

Active since March 09, 2007
8950 W EMERALD ST, STE 168, BOISE, ID 83704(208) 901-5144 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Feb 22, 2017 (2 updates tracked since 2017).

About Myung Ae Song D.o. , M.b.a. NPPES

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

MYUNG AE SONG D.O. , M.B.A. (NPI 1922130541) is an individual general practice provider in Boise, Idaho, licensed in Idaho (O-322) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1922130541
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMYUNG AE SONGCredential: D.O. , M.B.A.
Location Address8950 W EMERALD ST, STE 168Boise, ID 83704-8296
Mailing Address12706 Deer Ridge TrlNampa, ID 83686-7806 · (208) 901-5144
Phone(208) 901-5144
Sole ProprietorYes
Enumeration DateMarch 9, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1922130541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in ID · O-322
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8950 W EMERALD ST, Boise, ID 83704
Open in Google Maps ↗

Other Identifiers 3

OtherCS-10302ID · Idaho Controlled Substanc
OtherH06991ID · Upin #
OtherO-322ID · Idaho Medical License

Other Providers at the Same Location NPPES 8

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

AMY K JEPPESEN L.C.S.W.
Social Worker (Clinical)
8950 W EMERALD ST, SUITE 178
BOISE, ID 83704
Ada County (208) 376-7083
MS. KERSONDRA CORRINE HOOD LCSW
Social Worker (Clinical)
8950 W EMERALD ST
BOISE, ID 83704
Ada County (208) 376-7083
SARAH GORDON LMSW
Social Worker
8950 W EMERALD ST
BOISE, ID 83704
Ada County (208) 376-7083
SARAH LYTER LPC5904
Counselor (Professional)
8950 W EMERALD ST, SUITE 178
BOISE, ID 83704
Ada County (208) 376-7083
DR. HELEN A NAPIER PHD
Psychologist (Adult Development & Aging)
8950 W EMERALD ST, SUITE 168
BOISE, ID 83704
Ada County (208) 302-3700
RAJCOOMAR ISSUREE RPT
Physical Therapist
8950 W EMERALD ST, SUITE #195
BOISE, ID 83704
Ada County (208) 376-7313
DR. FLOYD AMES SMITH JR. MD
Surgery
8950 W EMERALD ST
BOISE, ID 83704
Ada County (208) 400-5131
FUNCTIONAL PHYSICAL THERAPY CENTER
Clinic/Center (Physical Therapy)
8950 W EMERALD ST, SUITE 195
BOISE, ID 83704
Ada County (208) 376-7313

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 Myung Song's NPI number?

The NPI number for Myung Song is 1922130541. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Myung Song located?

Myung Song practices at 8950 W Emerald St Ste 168, Boise, ID 83704. The listed phone number is (208) 901-5144.

What is Myung Song's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Myung Song was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.