DR. DAN D PARK


Address: 3231 S National Ave, Suite 160, Springfield, MO 65807-7304
Phone: 4178886708

DR. DAN D PARK (NPI# 1023151685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023151685
Entity Type Individual
Full Name DR. DAN D PARK
Credential DPM
Practice Address 3231 S National Ave
Suite 160
Springfield
MO 65807-7304
Mailing Address Po Box 2580
Springfield
MO 65801-2580
Practice Telephone 4178886708
Practice Fax Number 4178904143
Mailing Telephone 4178294620
Enumeration Date 2007-02-14
Last Update Date 2013-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 000787 MO Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 309802700 05
AR ARK BLUE SHIELD 81727 01
MO MO BLUE SHIELD 118724 01

Other Providers DAN PARK

NPI Name Taxonomy Address Enumeration
1669095485 Dan Park Student in an Organized Health Care Education/Training Program 1101 E Marshall St Ste 1-030, Richmond, VA 23298-5048 2020-05-27

Office Location

Street Address 3231 S NATIONAL AVE
SUITE 160
City SPRINGFIELD
State MO
Zip Code 65807-7304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811999386 Geoffery Lynn Stanczyk Obstetrics & Gynecology 3231 S National Ave, Suite 250, Springfield, MO 65807-7304 2005-08-12
1659819274 Melanie Marsh Nurse Practitioner 3231 S National Ave, Ste 240, Springfield, MO 65807-7304 2017-02-02
1336521798 Wendy L. Robinson Nurse Practitioner 3231 S National Ave, Suite 115, Springfield, MO 65807-7304 2015-06-22
1134501695 Carla K. Athen Nurse Practitioner 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 2015-06-22
1306241518 Dawn L. Webb Registered Nurse 3231 S National Ave, Suite 425, Springfield, MO 65807-7304 2014-10-30
1417397472 Kanya L Ahuja Pediatrics 3231 S National Ave, Ste 100, Springfield, MO 65807-7304 2013-07-04
1386986545 Bennett Adam Bolyard Internal Medicine 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 2013-03-25
1962741918 Vanessa L. Montileone Registered Nurse 3231 S National Ave, Suite 430, Springfield, MO 65807-7304 2013-02-12
1801133343 Stephanie Kirsten Voorhis Nurse Practitioner 3231 S National Ave, Ste 140, Springfield, MO 65807-7304 2013-01-03
1679824395 Ashley N. Duey Nurse Practitioner 3231 S National Ave, Springfield, MO 65807-7304 2012-09-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1598250961 Kathryn Barber Nurse Practitioner 3800 S National Ave Ste 700, Springfield, MO 65807 2018-06-27
1447764899 Missouri Midwifery Service Clinic/Center 3840 South Avenue, Springfield, MO 65807 2017-11-21
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1740663335 Sarah E Kirk Physical Therapist 3545 S. National Ave, Springfield, MO 65807 2015-07-01
1750713335 Amanda Ward Nurse Practitioner 2150 W Republic Rd Ste 112, Springfield, MO 65807 2013-08-06
1932531126 Eugenia R Cortez Counselor 2124 Chesterfield Blvd., Springfield, MO 65807 2013-07-30
1962742866 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3045 W Republic St, Springfield, MO 65807 2013-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
Find all providers in zip 65807

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275856924 Leonid Schreer Podiatrist 433 Briant Park Dr, Springfield, NJ 07081-2173 2010-03-09
1376677799 Stuart L Kramer Podiatrist 7007 Backlick Ct, Springfield, VA 22151-3937 2007-03-15
1437282423 James H Courniotes II Podiatrist 1786 Wilbraham Road, Springfield, MA 01119 2007-03-13
1760556765 Edward Patrick Smith Jr. Podiatrist 148 Park Street, Springfield, VT 05156 2006-11-20
1528130705 Stanley Spencer Lubeck Podiatrist 501 Wesley Rd, Springfield, PA 19064-2012 2006-11-14
1992808216 Duane Brown Podiatrist 405 S Macarthur Blvd, Springfield, IL 62704-1742 2006-09-06
1942310651 Franklin Vogel Jr. Podiatrist 3 N Brookside Road, Springfield, PA 19064 2006-08-30
1679583058 Barry H Arons Podiatrist 6217 Old Keene Mill Ct, Springfield, VA 22152-2324 2006-08-09
1588693568 Rose M Sundet Podiatrist 2733 E Battlefield St # 218, Springfield, MO 65804 2006-07-01
1124005699 Foot Specialists Associates Inc Podiatrist 1786 Wilbraham Rd, Springfield, MA 01119 2005-12-27
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 65807

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Dataset Information

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.

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