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

Jimmy Song, PA-C

Individual provider Physician Assistant · NPI 1689400848

Jimmy Song, PA-C is a Physician Assistant in Lone Tree, Colorado. Qualified in 2024, 2 years ago. Practices with Rocky Mountain Gastroenterology Associates, PLLC, a 38-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
2
Licensed in
CO
In the registry since
2024
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10535 Park Meadows Blvd Ste 301
Lone Tree, CO 80124-8456
Phone: (303) 662-8250
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CO)

Record details

NPI number1689400848
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rocky Mountain Gastroenterology Associates, Pllc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lone Tree