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

Guoqing Song, PA-C

Individual provider Surgical Physician Assistant · NPI 1801247176

Guoqing Song, PA-C is a Physician Assistant in Appleton, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2016, 10 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
10
Trained at
University of Wisconsin School of Medicine
Licensed in
IL, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2400 E Capitol Dr
Appleton, WI 54911-8728
Phone: (920) 831-5050
Show map & directions

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

Additional practice locations (2)

  • 2000 Lake Ave, Woodstock, IL 60098-7401 — (815) 337-7100
  • 820 E Grant St, Appleton, WI 54911-3483 — (920) 831-5050

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4030 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085-005846 (IL)

Record details

NPI number1801247176
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2016
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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