JOSEPH S. PARK (NPI# 1134387889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134387889 |
| Entity Type | Individual |
| Full Name | JOSEPH S. PARK |
| Credential | MD |
| Practice Address |
545 Ray C. Hunt Drive Suite 310 Charlottesville VA 22903-7851 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4342435432 |
| Practice Fax Number | 4342435460 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2010-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 244859 | NY | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
0101247548 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156622 | Joseph Park | Social Worker | 100 N Bellefield Ave Ste 618, Pittsburgh, PA 15213-2600 | 2018-09-06 |
| 1205380854 | Joseph Soon Park | Student in an Organized Health Care Education/Training Program | 200 Campus Drive, Suite 3100, Hershey, PA 17033 | 2016-08-12 |
| 1700206869 | Joseph Choi Park | Otolaryngology | 601 N Caroline St # Street6, Baltimore, MD 21287-0006 | 2014-04-16 |
| 1700203700 | Joseph Park | Student in an Organized Health Care Education/Training Program | 1049 Rosedale Rd, Valley Stream, NY 11581-2704 | 2014-03-27 |
| 1760726574 | Joseph Park | Physical Therapist | 12465 Lewis Street, Suite 101, Garden Grove, CA 92840-4658 | 2012-11-16 |
| 1699916585 | Joseph Park | Dentist | 2411 Williams Dr Ste 111, Georgetown, TX 78628-3268 | 2009-03-23 |
| 1821139841 | Joseph Yip Park | Dentist | 2017 Queensguard Rd, Silver Spring, MD 20906-2032 | 2007-02-11 |
| 1891848412 | Joseph Park | Family Medicine | 3805 Main St Ste 112, The Colony, TX 75056-2853 | 2007-01-18 |
| 1194896373 | Joseph Park | Acupuncturist | 134 Howard St, Petaluma, CA 94952-2922 | 2006-11-10 |
| 1811079098 | Joseph M Park | Urology | 63 South 9th Street, Indiana, PA 15701 | 2006-10-19 |
| Street Address |
545 RAY C. HUNT DRIVE SUITE 310 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-7851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376509539 | Angelo Rashard Dacus | Orthopaedic Surgery | 545 Ray C. Hunt Drive, Charlottesville, VA 22903 | 2006-04-25 |
| 1164820379 | Jennifer Digrazia | Occupational Therapist | 545 Ray C. Hunt Drive, Charlottesville, VA 22903 | 2014-12-22 |
| 1235561135 | Claire B. Denny | Physician Assistant | 545 Ray C. Hunt Drive, Charlottesville, VA 22906-0001 | 2013-08-01 |
| 1750638979 | Rosemarie L. Tyger | Physician Assistant | 545 Ray C. Hunt Drive, Suite 310, Charlottesville, VA 22903-0001 | 2012-08-07 |
| 1386900983 | Kathryn L. Robertson | Physician Assistant | 545 Ray C. Hunt Drive, Charlottesville, VA 22903-0001 | 2012-04-09 |
| 1316238934 | David J. Hryvniak | Physical Medicine & Rehabilitation | 545 Ray C. Hunt Drive, Ste 310, Charlottesville, VA 22903-7851 | 2011-04-30 |
| 1366733412 | Joseph L. Amalfitano | Physical Medicine & Rehabilitation | 545 Ray C. Hunt Drive, Ste 240, Charlottesville, VA 22903-0001 | 2011-04-25 |
| 1740585280 | James Shorten | Physician Assistant | 545 Ray C. Hunt Drive, Ste 310, Charlottesville, VA 22903-0001 | 2011-01-13 |
| 1730312992 | Amy E. Radigan | Physician Assistant | 545 Ray C. Hunt Drive, Charlottesville, VA 22903 | 2009-09-03 |
| 1043407646 | Rachita Khot | Radiology | 545 Ray C. Hunt Drive, Charlottesville, VA 22903 | 2007-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063556603 | Venkat Perumal | Orthopaedic Surgery | 545 Ray C Hunt Dr, Ste 310, Charlottesville, VA 22903-2981 | 2007-02-16 |
| 1114084407 | Minton Truitt Cooper | Orthopaedic Surgery | 545 Ray C. Hunt Drive, Medical Office Bldg 2, Charlottesville, VA 22903-0001 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922195858 | John Donald Duerden | Orthopaedic Surgery | 501 Discovery Dr, Chesapeake, VA 23320-3843 | 2006-10-10 |
| 1396031142 | Oliver Nikolaas Schipper | Orthopaedic Surgery | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2011-06-21 |
| 1902063092 | Kevin Charles Lutta | Orthopaedic Surgery | 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171-4095 | 2008-05-17 |
| 1245310614 | Steven K Neufeld | Orthopaedic Surgery | 2922 Telestar Ct, Falls Church, VA 22042-1206 | 2006-10-17 |
| 1144242298 | Michael Andrew Caines | Orthopaedic Surgery | 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 | 2006-07-24 |
| 1568406825 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2006-06-16 |
| 1871536235 | Mark Mcclellan Jones | Orthopaedic Surgery | 1400 Johnston Willis Dr, Suite A, North Chesterfield, VA 23235-4765 | 2006-06-14 |
| 1235171406 | Mark Lindsay Hagy | Orthopaedic Surgery | 101 Knotbreak Road, Salem, VA 24153-7304 | 2006-06-12 |
| 1912948209 | John David Bowman | Orthopaedic Surgery | 8266 Atlee Rd, Suite 133, Mechanicsville, VA 23116-1804 | 2006-06-09 |
| 1730140989 | Claude Damian Anderson | Orthopaedic Surgery | 620 John Paul Jones Cir, Department of Orthopedics, Portsmouth, VA 23708-2111 | 2006-03-29 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.