Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Jihye Song, PA-C

Individual provider Physician Assistant · NPI 1831721406

Katherine Jihye Song, PA-C is a Physician Assistant in Virginia Beach, Virginia. Qualified in 2020, 6 years ago. Practices with Urology of Virginia, PLLC, a 75-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone: (757) 452-3599
Fax: (757) 961-3696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110007268 (VA)

Record details

NPI number1831721406
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 11, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Urology Of Virginia, Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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