MYUNG PARK (NPI# 1093753162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093753162 |
Entity Type | Individual |
Full Name | MYUNG PARK |
Credential | MD |
Practice Address |
3533 S Alameda St Corpus Christi TX 78411-1721 |
Mailing Address |
Po Box 6636 Corpus Christi TX 78466-6636 |
Practice Telephone | 3616945086 |
Practice Fax Number | 3618559518 |
Mailing Telephone | 3616945086 |
Mailing Fax Number | 3618559518 |
Enumeration Date | 2006-06-02 |
Last Update Date | 2013-01-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
E5881 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBSTX | 8H9855 | 01 |
TX | SUPERIOR HEALTHPLAN | 103316 | 01 |
TX | 117824604 | 05 | |
TX | CSHCN | 117824604 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205875986 | Myung Hee Park | Internal Medicine | 1802 Yakima Ave Ste 302, Tacoma, WA 98405-5305 | 2006-06-06 |
1710342472 | Myung Park | Peer Specialist | 3050 White Plains Road, Bronx, NY 10467 | 2015-12-23 |
1134527047 | Myung Park | Dentist | 7770 Sightseeing Rd, Dencom, Fort Benning, GA 31905-3764 | 2014-12-09 |
1699031633 | Myung N Park I | Massage Therapist | 5006 Center St, Suite #d, Tacoma, WA 98409-2314 | 2012-04-04 |
1831425545 | Myung Kyu Park | Acupuncturist | 4671 Express Dr N, Ronkonkoma, NY 11779-5562 | 2009-10-30 |
1639389679 | Myung S Park | Surgery | 200 1st St Sw, Rochester, MN 55905 | 2007-05-22 |
Street Address |
3533 S ALAMEDA ST |
City | CORPUS CHRISTI |
State | TX |
Zip Code | 78411-1721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558363671 | Meera Gangadharan | Anesthesiology | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2005-06-01 |
1629684816 | Guyu Li | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-09-22 |
1972113579 | Kenechukwu Okechukwu Aronu | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-08-07 |
1053939488 | Obinna Chijindu Ubah | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-07-13 |
1952929861 | Jordi Friese | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-07-07 |
1053936971 | Alliskair Anibal Ortiz | Clinic/Center | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-16 |
1811512767 | Maria Alejandra Castillo Sanchez | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-16 |
1609490630 | Kassandra Madore | Audiologist | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-06-05 |
1982228607 | Vera Whole Health Wa, PC | Clinic/Center | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-05-29 |
1811510563 | Jeffrey Joon Taek Lee | Student in an Organized Health Care Education/Training Program | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2020-05-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
Find all providers in zip 78411 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891127726 | Stephanie Ghaleb | Pediatrics | 3333 S.alameda St, 13k, Corpus Christi, TX 78411 | 2013-08-02 |
1710245642 | Jerry Thyparampil Michael | Pediatrics | 3533 S Alameda St Ste H-100, Corpus Christi, TX 78411-1721 | 2012-04-29 |
1457399537 | John Edward Pliska | Pediatrics | 3533 S. Amameda, Suite 202, Corpus Christi, TX 78411 | 2006-06-02 |
1699722108 | Pradip K Dhar | Pediatrics | 5714 Spohn Dr, Corpus Christi, TX 78414-4116 | 2006-05-28 |
1528015096 | Driscoll Physicians Group | Pediatrics | 3533 South Alameda Suite H-100, Corpus Christi, TX 78411-1721 | 2006-05-28 |
1710973722 | Billy Rios | Pediatrics | 3502 S Alameda St, Corpus Christi, TX 78411-1722 | 2005-09-26 |
1538487863 | Dilachew Adebo | Pediatrics | 3533 S Alameda St, Suite 202, Corpus Christi, TX 78411-1721 | 2010-05-11 |
1033436571 | Driscoll Physicians Group | Pediatrics | 3533 S Alameda St, Suite 200, Corpus Christi, TX 78411-1721 | 2010-04-23 |
1639303910 | Pediatric Surgical Specialists of South Texas LLP | Pediatrics | 3533 S Alameda St, Suite 209, Corpus Christi, TX 78411-1721 | 2009-05-14 |
1548207053 | Muhammad Sher Khan | Pediatrics | 3533 S Alameda St, Ste 202, Corpus Christi, TX 78411-1721 | 2006-06-01 |
Find all providers in CORPUS CHRISTI |
City | CORPUS CHRISTI |
Zip Code | 78411 |
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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.