DR. EDWIN Y. PARK (NPI# 1063478378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063478378 |
| Entity Type | Individual |
| Full Name | DR. EDWIN Y. PARK |
| Credential | MD |
| Practice Address |
220 Hovey Rd Pensacola FL 32508-1044 |
| Practice Telephone | 8504522839 |
| Practice Fax Number | 8504523842 |
| Mailing Telephone | 8504522839 |
| Mailing Fax Number | 8504523842 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0101056081 | VA | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101056081 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851301998 | Edwin M H Park | Dentist | 95 N Reino Road, Newbury Park, CA 91320-3708 | 2006-08-09 |
| Street Address |
220 HOVEY RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32508-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891772091 | Blaine Michael Powell | Family Medicine | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2005-12-28 |
| 1669913497 | Colleen Marie Cook | Military Hospital | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2017-03-13 |
| 1790131316 | Camille Amede Eggebroten | Student in an Organized Health Care Education/Training Program | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2016-05-12 |
| 1881055994 | Elbert Maloney IIi | General Practice | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2016-03-16 |
| 1942681002 | Jay Belmarez | Family Medicine | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2015-06-15 |
| 1750794954 | Tiffany J Tam | Student in an Organized Health Care Education/Training Program | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2014-06-04 |
| 1548509631 | Arneh Babakhani | Internal Medicine | 220 Hovey Rd, Pensacola, FL 32508-1047 | 2013-02-08 |
| 1285996801 | Richard A Kemp | General Practice | 220 Hovey Rd, Pensacola, FL 32508-1047 | 2012-06-10 |
| 1013277300 | Fabian Javier Rohena | Preventive Medicine | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2012-05-21 |
| 1346537008 | Juan David Guerra | Student in an Organized Health Care Education/Training Program | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2011-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851598510 | Matthew Henry Hoefer | Preventive Medicine | Naval Aerospace Medical Institute- Code 33, 340 Hulse Road, Pensacola, FL 32508 | 2007-06-27 |
| 1891917035 | Lillie Olivia Johnson | Social Worker | Fleet and Family Support Center Building 625 Nas, 151 Ellyson Ave, Pensacola, FL 32508 | 2007-05-03 |
| 1033272372 | Andrew P Doan | Ophthalmology | Naval Aerospace Medicine Institute, 340 Hulse Road, Pensacola, FL 32508 | 2006-12-18 |
| 1689601361 | Bruce Allan Waterman | Emergency Medicine | Nmotc, 220 Hovey Rd, Pensacola, FL 32508 | 2006-06-27 |
| 1346203601 | Richard Alan Beane | Preventive Medicine | 320 Hovey Rd, Naval Air Station Pensacola, Pensacola, FL 32508 | 2006-04-08 |
| 1629040837 | Juan C. Dapena | Family Medicine | 220 Hovey Rd Bldg 488, Pensacola, FL 32508 | 2006-02-02 |
| 1417935586 | Kimberly Kay Gullickson | Audiologist | 450 Turner Street, Branch Health Clinic Naval Air Station, Pensacola, FL 32508 | 2006-01-09 |
| 1164419578 | Michael Matthew Jacobs | Family Medicine | 340 Hulse Road, Naval Aerospace Medical Institute (nami), Pensacola, FL 32508 | 2005-09-30 |
| 1679917033 | Lawrence Coronel Jimenez | Military Health Care Provider | 760 East Ave Bldg 3911, Pensacola, FL 32508 | 2013-04-28 |
| 1215276191 | Hoyt Harris Reynolds | General Practice | 450 Turner St, Naval Air Station Pensacola Branch Health Clinic, Pensacola, FL 32508 | 2013-02-12 |
| Find all providers in zip 32508 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114398427 | Dr Joe A Jackson, Md Pllc | Psychiatry & Neurology | 224 E Garden St, Suite 5b Box J16, Pensacola, FL 32502-6068 | 2015-10-13 |
| 1427346766 | Joseph Allen Cahill | Psychiatry & Neurology | Naval Hospital 6000 West Highway 98, Pensacola, FL 32512-0001 | 2011-07-20 |
| 1831210392 | Keena Colleen Risola | Psychiatry & Neurology | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2007-04-03 |
| 1881676419 | James David Torrisi | Psychiatry & Neurology | Covenant Hospice, 2001 N. Palafox Street, Pensacola, FL 32501 | 2005-11-18 |
| 1811989346 | Henry Olin Porter IIi | Psychiatry & Neurology | 1110 Airport Blvd, Suite B, Pensacola, FL 32504 | 2005-08-19 |
| 1003136987 | Ethan Mccaleb Gore | Psychiatry & Neurology | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2010-06-02 |
| 1730339912 | Amy K Sullivan | Psychiatry & Neurology | 5153 N 9th Ave, Suite 404, Pensacola, FL 32504-8785 | 2008-09-24 |
| 1609901487 | Lawrence King IIi | Psychiatry & Neurology | 5153 N 9th Ave, Suite 300, Pensacola, FL 32504-8785 | 2007-02-22 |
| 1386780302 | Kiumars E. Shams | Psychiatry & Neurology | 101 S Jefferson St, Suite C, Pensacola, FL 32502-5656 | 2007-01-29 |
| 1164595427 | John Axley | Psychiatry & Neurology | 4400 Bayou Blvd Ste 43, Pensacola, FL 32503-1910 | 2006-11-16 |
| Find all providers in PENSACOLA | ||||
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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.