DR. HYOUNGSUP PARK


Address: 305 Bicentennial Hwy, Springfield, MA 01118-1962
Phone: 4137334101

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
CT 008004410 05
MA 110094235/A 05

Office Location

Street Address 305 BICENTENNIAL HWY
City SPRINGFIELD
State MA
Zip Code 01118-1962

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Competitor

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City SPRINGFIELD
Zip Code 01118

Improve Information

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Dataset Information

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.

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