DR. YOUNG SIN PARK (NPI# 1003893165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003893165 |
| Entity Type | Individual |
| Full Name | DR. YOUNG SIN PARK |
| Credential | M.D. |
| Practice Address |
812 Huron Road Suite 520 Cleveland OH 44115 |
| Mailing Address |
Po Box 840294 Dallas TX 75284-0294 |
| Practice Telephone | 2168615846 |
| Practice Fax Number | 2168611720 |
| Mailing Telephone | 8883441160 |
| Mailing Fax Number | 9723313148 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2013-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 35038575 | OH | Other Service Providers |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35.038575 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0893529 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427565761 | Young Lim Park | Acupuncturist | 713 Tangelo Way, Fullerton, CA 92832-2630 | 2018-01-09 |
| 1538396189 | Young Chul Park | Dentist | 6625 Williamson Rd, Roanoke, VA 24019-4631 | 2009-06-22 |
| 1619126281 | Young Park | Chiropractor | 18904 Hwy99 Ste Q, Lynnwood, WA 98036 | 2008-09-18 |
| 1215137971 | Young Seok Park | Acupuncturist | 2016 Grand Ave., Baldwin, NY 11510 | 2007-07-20 |
| 1538370390 | Young Park | Pediatrics | 140 Branchwood Lane, Nanuet, NY 10954 | 2007-05-24 |
| 1568597912 | Young Bae Park | Dentist | 11120 Evergreen Way, #g, Everett, WA 98204-3888 | 2007-02-23 |
| 1255495362 | Young J. Park | Internal Medicine | 2 Wramc, 6900 Georgia Ave. Nw, Washington, DC 20307-0001 | 2006-12-21 |
| 1851455497 | Young Jae Park | Chiropractor | 981 S Western Ave Rm 307, Los Angeles, CA 90006 | 2006-12-20 |
| 1184633950 | Young S Park | General Practice | 2123 Skylane Dr, Naperville, IL 60564-9477 | 2006-08-07 |
| 1235107905 | Young Won Park | Acupuncturist | 215 East Water Street, Muncy, PA 17756-1966 | 2006-03-09 |
| Street Address |
812 HURON ROAD SUITE 520 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780652768 | Maria Simon Rimmerman | Pathology | 812 Huron Road, Suite 520, Cleveland, OH 44115 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548618473 | Rumeal Whaley | Pathology | Cleveland Clinic Pathology 9500 Euclid Ave, Cleveland, OH 44195-4108 | 2016-06-01 |
| 1972847994 | Patrick Alan Hansma | Pathology | 11001 Cedar Ave, Cleveland, OH 44106-3022 | 2012-11-15 |
| 1013204650 | Ana Lucia Ruano Mendez | Pathology | 9500 Euclid Ave # L25, Cleveland, OH 44195-0001 | 2011-07-04 |
| 1164561007 | Indira Pillay | Pathology | 1730 W 25 Street, Cleveland, OH 44113 | 2007-02-06 |
| 1851386163 | Anthony Simonetti | Pathology | 9500 Euclid Ave #406, Cleveland Clinic Foundation, Cleveland, OH 44195 | 2005-09-13 |
| 1427608314 | Daniel Lee Shen | Pathology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2019-09-12 |
| 1326609231 | Narendra Bhattarai | Pathology | Cleveland Clinic 9500 Euclid Avenue/na- 23, Cleveland, OH 44195-0001 | 2019-06-23 |
| 1952962946 | Mrinal Sarwate | Pathology | Cleveland Clinic 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2019-06-21 |
| 1770069668 | Frido Karl Ludwig Bruehl | Pathology | Cleveland Clinic 9500 Euclid Avenue/na23, Cleveland, OH 44195 | 2018-07-14 |
| 1962996496 | Emad Ibrahim Ababneh | Pathology | 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0002 | 2018-06-18 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.