Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jaekyung Song, MD

Individual provider Hospitalist Physician · NPI 1972700656

Dr. Jaekyung Song, MD is an Internal Medicine in Centralia, Washington. Qualified in 2006, 20 years ago. Practices with Capital Medical Center Specialty Physicians LLC, a 104-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
20
Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

914 S Scheuber Rd
Centralia, WA 98531
Phone: (360) 330-8976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD60377532 (WA)
Hospitalist Physician Taxonomy 208M00000X · Licence MD60377532 (WA)

Record details

NPI number1972700656
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESJune 6, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Capital Medical Center Specialty Physicians Llc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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