DR. HYOUNGSUP PARK (NPI# 1174512735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174512735 |
Entity Type | Individual |
Full Name | DR. HYOUNGSUP PARK |
Other Name | DR. H STEPHEN PARK |
Credential | M.D., PHD |
Practice Address |
305 Bicentennial Hwy Springfield MA 01118-1962 |
Practice Telephone | 4137334101 |
Practice Fax Number | 4137966821 |
Mailing Telephone | 4137334101 |
Mailing Fax Number | 4137966821 |
Enumeration Date | 2005-10-17 |
Last Update Date | 2013-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 223132 | MA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 043254 | CT | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 200492 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 008004410 | 05 | |
MA | 110094235/A | 05 |
Street Address |
305 BICENTENNIAL HWY |
City | SPRINGFIELD |
State | MA |
Zip Code | 01118-1962 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952948176 | Alireza Jarihi | Nurse Practitioner | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2019-12-06 |
1366925919 | Christopher Brian Cooper | Physician Assistant | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2018-09-10 |
1366826885 | Mary Konefal | Physician Assistant | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2015-07-14 |
1821401225 | Sarah Morrissey | Obstetrics & Gynecology | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2014-06-04 |
1194078329 | Mary Catherine Carpenter | Registered Nurse | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2012-10-25 |
1275891822 | Elizabeth Anne Rottenberg | Obstetrics & Gynecology | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2012-05-01 |
1508143231 | Teresa Anne Svart | Nurse Practitioner | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-11-09 |
1396039343 | Jennifer J Piel | Internal Medicine | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-06-07 |
1306137906 | Kyle W Bruce | Podiatrist | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-04-29 |
1467742924 | Michelle A Connor | Advanced Practice Midwife | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2011-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376061036 | Elizabeth Light | Social Worker | 211 S Branch Pkwy, Springfield, MA 01118 | 2017-09-01 |
1336507300 | Carla Vieu | Counselor | 25 Pebblemill Rd, Springfield, MA 01118 | 2016-02-05 |
1811309172 | Kristin Espinosa | Counselor | 1325 Allen St, Springfield, MA 01118 | 2014-05-21 |
1578903969 | Erica Begley | Social Worker | 51 Wexford Street, Springfield, MA 01118 | 2013-06-28 |
1568761260 | David Stuart Bloomberg | Pharmacist | 126 Island Pond Road, Springfield, MA 01118 | 2011-03-21 |
1376665554 | Robins Eyecare, LLC | Optometrist | 1268 Sumner Ave., Springfield, MA 01118 | 2007-04-06 |
1821163312 | Mary Ann Celentano | Optometrist | 305 Bicentennial Highway, Springfield, MA 01118 | 2006-11-21 |
1508951054 | Marcus Anthony Lopez | Dentist | 1235 Sumner Ave, Springfield, MA 01118 | 2006-10-03 |
1588622070 | David J Doyle | Emergency Medicine | 1515 Allen Street, Springfield, MA 01118 | 2006-05-03 |
1093773814 | Christine A Sickle | Pediatrics | 1515 Allen St, Suite B, Sumner Pediatrics, PC, Springfield, MA 01118 | 2006-05-02 |
Find all providers in zip 01118 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
1649815796 | 180 Health Lifestyle Wellness Centers | Family Medicine | 1936 S Glenstone Ave, Springfield, MO 65804-2305 | 2019-11-13 |
1790337988 | Aminat Ogun | Family Medicine | 520 N 4th St # 62702, Springfield, IL 62702-5238 | 2019-07-09 |
1770076622 | Thomas John Schumann | Family Medicine | 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 | 2018-06-14 |
1134648959 | Patricia Derges | Family Medicine | 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 | 2017-09-12 |
1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
1790215853 | Vincent Marchese | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2017-06-12 |
1184152100 | Canaan Arceneaux | Family Medicine | 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 | 2017-06-03 |
1063943587 | Cody Stark Rogers | Family Medicine | 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 | 2017-03-26 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01118 |
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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.