KO EUN PARK (NPI# 1124687074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124687074 |
| Entity Type | Individual |
| Full Name | KO EUN PARK |
| Practice Address |
4300 Montgomery Ave Ste 104 Bethesda MD 20814-4412 |
| Mailing Address |
5580 Hecate Ct Fairfax VA 22032-3840 |
| Practice Telephone | 3014580056 |
| Mailing Telephone | 7033404116 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | U02560 | MD | Other Service Providers |
| Street Address |
4300 MONTGOMERY AVE STE 104 |
| City | BETHESDA |
| State | MD |
| Zip Code | 20814-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642228 | Bethesda Psychological Evaluations and Treatment Limited | Community/Behavioral Health | 4300 Montgomery Ave Ste 104, Bethesda, MD 20814-4412 | 2020-06-04 |
| 1427610872 | Kp Acupuncture | Acupuncturist | 4300 Montgomery Ave Ste 104, Bethesda, MD 20814-4412 | 2019-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365082 | Chibuzor Susan Igolo | Nurse Practitioner | 4494 N Palmer Rd N, Bethesda, MD 20814 | 2020-10-26 |
| 1922611797 | David Yardeni | Student in an Organized Health Care Education/Training Program | 10 Center Drive, 4-5722, Bethesda, MD 20814 | 2020-08-31 |
| 1003436619 | Global Psychotherapy Center of Bethesda | Community/Behavioral Health | 4400 East West Highway Suite C-e, Bethesda, MD 20814 | 2020-04-23 |
| 1306465737 | Jamie Marie Lewis | Nurse Practitioner | 104 Wood Drive, Bethesda, MD 20814 | 2020-04-15 |
| 1427687003 | Jon Lindefjeld | Student in an Organized Health Care Education/Training Program | Walter Reed National Military Medical Center Psychiatry, Bethesda, MD 20814 | 2020-04-06 |
| 1568002814 | Paige Lewis | Counselor | 7201 Wisconsin Ave. Suite 700, Bethesda, MD 20814 | 2020-01-14 |
| 1023657400 | Brightview Bethesda Grosvenor, LLC | Alzheimer Center (Dementia Center) | 5510 Grosvenor Lane, Bethesda, MD 20814 | 2020-01-02 |
| 1972144939 | Uzma Knouss | Marriage & Family Therapist | 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 | 2019-10-01 |
| 1962057620 | Catherine Jeffries | Speech-Language Pathologist | 7921 Lynnbrook Drive, Bethesda, MD 20814 | 2019-08-08 |
| 1992368963 | Sheryl Lynne Winans | Occupational Therapist | 8001 Lynbrook Drive, Bethesda, MD 20814 | 2019-04-16 |
| Find all providers in zip 20814 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629699392 | Jonathan P Gilbert | Acupuncturist | 7315 Wisconsin Ave Ste 760e, Bethesda, MD 20814-3256 | 2020-05-04 |
| 1700423985 | In Soon Cho | Acupuncturist | 5411 W Cedar Ln Ste 108a, Bethesda, MD 20814-1516 | 2019-12-05 |
| 1629531025 | Vcm Health Care LLC | Acupuncturist | 7000 Greentree Rd, Bethesda, MD 20817-2232 | 2019-04-11 |
| 1942776174 | Lohas Acupuncture LLC | Acupuncturist | 6410 Rockledge Dr Ste 310, Bethesda, MD 20817-1841 | 2018-10-15 |
| 1255821468 | Jamie Wick | Acupuncturist | 4853 Cordell Ave Ph 10, Bethesda, MD 20814-3036 | 2018-05-14 |
| 1376064816 | Healthy Roots Medicine, LLC | Acupuncturist | 5415 W Cedar Ln Ste 204b, Bethesda, MD 20814-1524 | 2017-07-06 |
| 1487100277 | Chun Jen Huang | Acupuncturist | 7420 Lakeview Dr Apt 307, Bethesda, MD 20817-6452 | 2016-08-31 |
| 1265889521 | Yilan Xiang | Acupuncturist | 7215 Arlington Rd Ste 202, Bethesda, MD 20814-2988 | 2016-05-17 |
| 1831559459 | Dowling Acupuncture, LLC | Acupuncturist | 4000 Virginia Pl Rm 3, Bethesda, MD 20816-2632 | 2016-02-24 |
| 1053748061 | Ying Faye Hu | Acupuncturist | 7372 Westlake Ter, Bethesda, MD 20817-1004 | 2013-10-04 |
| Find all providers in BETHESDA | ||||
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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.