DR. DANIEL PARK (NPI# 1073769162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073769162 |
| Entity Type | Individual |
| Full Name | DR. DANIEL PARK |
| Credential | MD |
| Practice Address |
26025 Lahser Rd 2nd Floor Southfield MI 48033-2606 |
| Mailing Address |
26025 Lahser Rd Fl 2 Southfield MI 48033-2606 |
| Practice Telephone | 2486631900 |
| Mailing Telephone | 3124973437 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301097927 | MI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 125049352 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1740739531 | Daniel Ingun Park | Physical Therapist | 4214 162nd St Fl 1, Flushing, NY 11358-4156 | 2016-09-22 |
| 1649605262 | Daniel Y Park | Physical Therapist | 1001 Kamokila Blvd Ste 127, Kapolei, HI 96707-2097 | 2013-09-13 |
| 1699054577 | Daniel Ilwoo Park | Massage Therapist | 15433 Country Club Dr, Unit A206, Mill Creek, WA 98012-1260 | 2011-08-10 |
| 1447581186 | Daniel Jinsang Park | Dentist | 6777 Westminster Blvd Ste C, Westminster, CA 92683-8057 | 2010-01-20 |
| 1518197938 | Daniel Park | Emergency Medicine | 3300 Douglas Blvd Ste 405, Roseville, CA 95661-3841 | 2009-07-20 |
| 1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
| 1124201801 | Daniel Park | Psychiatry & Neurology | 1707 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2353 | 2007-12-17 |
| 1598882029 | Daniel I Park | Denturist | 30816 Pacific Hwy S, Federal Way, WA 98003-4902 | 2007-03-22 |
| 1831239391 | Daniel Do Young Park | Family Medicine | 6019 Roosevelt Ave, Suite #201, Woodside, NY 11377-3537 | 2007-02-07 |
| Street Address |
26025 LAHSER RD 2ND FLOOR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497736771 | Thomas J Ditkoff | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2601 | 2005-11-14 |
| 1679073191 | Vanita Upendra Koepke | Physical Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2018-02-21 |
| 1427449727 | Julie Berris | Occupational Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2015-02-09 |
| 1154760650 | Julie Walters Lipa | Physician Assistant | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2013-06-18 |
| 1891092904 | Stephanie Danielle Springer | Physical Therapist | 26025 Lahser Rd, Southfield, MI 48033 | 2011-02-25 |
| 1679883201 | Kelly Maureen Pseres | Registered Nurse | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2010-10-17 |
| 1346569886 | Diana C Lengel | Physical Therapist | 26025 Lahser Rd, Suite 100, Southfield, MI 48033-2606 | 2010-05-24 |
| 1609106871 | Chandra T Charlton | Physical Therapist | 26025 Lahser Rd, Suite 100, Southfield, MI 48033-2606 | 2010-01-11 |
| 1598091704 | Jennifer Carol Rohrborn | Nurse Practitioner | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2009-10-22 |
| 1740445170 | Jeffrey Walter Devitt Jr. | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2008-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134681125 | Neuro Spine Institute Pllc | Orthopaedic Surgery | 29255 Northwestern Hwy Ste 202, Southfield, MI 48034-5741 | 2019-04-01 |
| 1366659591 | Ehab S Saleh | Orthopaedic Surgery | 26025 Lahser Rd Fl 2, Michigan Orthopaedic Institute PC, Southfield, MI 48033-2606 | 2007-05-17 |
| 1669448403 | Robert D Swift | Orthopaedic Surgery | 27207 Lahser Rd, Ste 108, Southfield, MI 48034-8470 | 2006-02-23 |
| 1497736771 | Thomas J Ditkoff | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2601 | 2005-11-14 |
| 1376167817 | Joseph Seta | Orthopaedic Surgery | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-06-01 |
| 1790223857 | Michigan Orthopaedic Surgeons, Pllc | Orthopaedic Surgery | 26025 Lahser Rd Fl 2, Southfield, MI 48033-2606 | 2017-02-08 |
| 1366815581 | Roberts Orthopedic Services Pllc | Orthopaedic Surgery | 27207 Lahser Rd, Suite 250, Southfield, MI 48034-2168 | 2015-11-10 |
| 1801020086 | James E. Beale, Jr., M.d., P.C. | Orthopaedic Surgery | 20240 W 12 Mile Rd, Suite 3, Southfield, MI 48076-2426 | 2009-05-04 |
| 1740445170 | Jeffrey Walter Devitt Jr. | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2008-07-24 |
| 1124237912 | Jad Georges Khalil | Orthopaedic Surgery | 26025 Lahser Rd, 2nd Floor, Southfield, MI 48033-2606 | 2007-05-21 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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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.