Derrick Soong
Pediatrics | Male
Derrick Soong is a Issaquah, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Derrick Soong is
100 Ne Gilman Blvd, Issaquah, Washington - 98027-2925. He can be contacted on phone at
425-557-8000 and fax number 425-557-8014.
Derrick Soong is a sole proprietor of his business.
NPI number (Unique professional ID) for Derrick Soong is
1275946519 which was assigned by NPPES on 04 Jun, 2014 and it was last updated on 13 Dec, 2017.
Derrick Soong license number is
MD60777389 for Pediatrics (208000000X) in Washington.
Derrick Soong is a pediatrician who 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.
Complete Profile:
Derrick Soong basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Derrick Soong |
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| Gender : | Male |
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Business Address:
Derrick Soong address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 Ne Gilman Blvd
Issaquah, WA, 98027-2925
United States |
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| Phone Number : | 425-557-8000 |
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| Fax Number : | 425-557-8014 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1275946519 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jun, 2014 |
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| Last Updated On : | 13 Dec, 2017 |
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Medicare Participation:
Derrick Soong participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7618235698 |
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| Medicare Enrollment ID : | I20171220002787 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Loma Linda University School Of Medicine |
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| Graduation Year : | 2014 |
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| Accepts Medicare? | Yes. Derrick Soong accepts medicare insurance. |
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Group Practice Association:
Derrick Soong is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Derrick Soong is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Virginia Mason Medical Center | 9830002617 | 798 | 1100 9th Ave
Seattle, WA - 981012756 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Derrick Soong are as mentioned. Primary taxonomy code for Derrick Soong is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD60777389 | WA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 100 Ne Gilman Blvd
Issaquah, WA, 98027-2925
United States |
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| Phone Number : | 425-557-8000 |
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| Fax Number : | 425-557-8014 |
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Business Location:
Patients can refer following map for directions to
Derrick Soong practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.