MR. TED S PARK (NPI# 1114293487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114293487 |
| Entity Type | Individual |
| Full Name | MR. TED S PARK |
| Credential | BC-HIS |
| Practice Address |
2141 K St Nw Ste 2 Washington DC 20037-1810 |
| Practice Telephone | 2027858704 |
| Practice Fax Number | 2024640039 |
| Mailing Telephone | 2027858704 |
| Mailing Fax Number | 2024640039 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 02077 | MD | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871113050 | Ted Park | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-04-17 |
| 1487626784 | Ted Park | Hospitalist | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2006-02-02 |
| Street Address |
2141 K ST NW STE 2 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20037-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1477173326 | Lisa Kate Eitches | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associ, 2150 Pennsylvania Ave, Nw, Washington, DC 20037 | 2020-04-21 |
| 1992280044 | Aakshit Goyal | Student in an Organized Health Care Education/Training Program | The George Washington University Hospital, 900, 23 Rd Street, Washington, DC 20037 | 2018-09-25 |
| 1649752015 | Jamie Peterson | Counselor | 3 Washington Circle Nw, Suite 406, Washington, DC 20037 | 2018-09-03 |
| 1003392689 | Eugenie Atallah | Student in an Organized Health Care Education/Training Program | The Gw Medical Faculty Associates 2150 Pennsylvania Ave, 2150 Pennsylvania Avenue, Nw, Washington, DC 20037 | 2018-07-17 |
| 1033637541 | Brianna Bachelle Eliades | Physical Medicine & Rehabilitation | 2175 K Street, Nw, C120, Washington, DC 20037 | 2017-09-05 |
| 1376067967 | Candace Mary Willett | Pediatrics | 2440 M St Nw Ste 205, Washington, DC 20037 | 2017-07-26 |
| 1982125894 | Fransisca Indraswari | Student in an Organized Health Care Education/Training Program | The George Washington Medical Faculty Associates, 2150 Pennsylvania Avenue Nw, Washington, DC 20037 | 2017-06-30 |
| 1750816021 | Mohammed Alsaggaf | Student in an Organized Health Care Education/Training Program | 900 23rd St Nw, Washington, Dc 20037, Usa, Washington, DC 20037 | 2017-04-25 |
| 1053868802 | Nicolle Denise Cooley | Speech-Language Pathologist | 2600 Virginia Avenue Nw, Suite #900, Washington, DC 20037 | 2016-09-08 |
| Find all providers in zip 20037 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558805770 | Southwest Hearing Clinic LLC | Hearing Instrument Specialist | 243 E Swallowtail Ln, Washington, UT 84780-2847 | 2016-12-07 |
| 1134587819 | Martin Struckhoff | Hearing Instrument Specialist | 1987 Highway A, Suite 210, Washington, MO 63090-7137 | 2016-02-09 |
| 1124534490 | Tammy S Ross-swift | Hearing Instrument Specialist | 2107 N Franklin Dr Ste 2, Washington, PA 15301-5868 | 2017-12-21 |
| 1881085405 | Dusan Duke Pandzic | Hearing Instrument Specialist | 100 Hillcrest Dr, Washington, IL 61571-2200 | 2015-02-18 |
| 1548683329 | Bernard Russell | Hearing Instrument Specialist | 210 Wellness Way, Washington, PA 15301 | 2014-01-29 |
| 1568896066 | Doug Barr Koller | Hearing Instrument Specialist | 80 Trinity Point Dr, Washington, PA 15301-2974 | 2013-09-03 |
| 1902158348 | Tina Wilson | Hearing Instrument Specialist | 1801 S State Road 57, Washington, IN 47501-4326 | 2012-10-10 |
| 1992064844 | Cynthia O'brien | Hearing Instrument Specialist | 410 E Main St, Washington, IN 47501-2979 | 2012-05-13 |
| 1639346893 | Advanced Hearing Care | Hearing Instrument Specialist | 901 Patients First Dr, Suite 1510, Washington, MO 63090-4700 | 2008-05-15 |
| 1508998949 | Damon Allen Stivason | Hearing Instrument Specialist | 150 W Beau St, Washington, PA 15301-4425 | 2007-03-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20037 |
Please comment or provide details below to improve the information on MR. TED S PARK.
| 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.