DR. THOMAS PARK (NPI# 1174843163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174843163 |
| Entity Type | Individual |
| Full Name | DR. THOMAS PARK |
| Credential | M.D. |
| Practice Address |
2215 Fuller Rd Ann Arbor MI 48105-2303 |
| Practice Telephone | 7342227452 |
| Mailing Telephone | 7342227452 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
4301102290 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063619419 | Thomas Park | Dentist | 134 New Haven Rd, Seymour, CT 06483-3908 | 2007-06-29 |
| 1619359288 | Thomas Park | Internal Medicine | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610 | 2015-06-19 |
| 1790055358 | Thomas Park | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2012-01-12 |
| 1669756045 | Thomas Park | Pharmacist | 1260 Liberty Rd, Eldersburg, MD 21784-7928 | 2011-10-04 |
| 1629169412 | Thomas T Park | Psychiatry & Neurology | 4160 John R St, 916, Detroit, MI 48201-2020 | 2006-09-27 |
| 1609976547 | Thomas Chin Park | Surgery | 2725 Capitol Ave, Suite 402, Sacramento, CA 95816-6004 | 2006-09-22 |
| 1609835198 | Thomas Park | Internal Medicine | 601 Elmwood Ave, Box 646, Rochester, NY 14642-0001 | 2006-03-22 |
| 1194707562 | Thomas S Park | Pharmacist | 23357 Pacific Coast Hwy, Malibu, CA 90265-4957 | 2005-11-18 |
| 1952304792 | Thomas M Park | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| Street Address |
2215 FULLER RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975075 | Susan M Meador | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2005-07-11 |
| 1972101103 | Blaine Franklin | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-10 |
| 1306443262 | Benjamin Pfeifer | Psychologist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-10-05 |
| 1083223044 | John Zemicki | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-27 |
| 1790394955 | Jyness Ariel Williams | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-23 |
| 1114545761 | Emily Sahagian | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-10 |
| 1831717586 | Jessica Vogt | Physical Therapist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-09 |
| 1881212488 | Scarlett Kettwich | Dentist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-09 |
| 1518584879 | Lauren Mcculley | Pharmacist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-07-02 |
| 1023634243 | Amanjot Kaur Sarao | Dentist | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871525592 | Samuel Allen Mendoza | Psychiatry & Neurology | 2215 Fuller Rd Rm A793, Ann Arbor, MI 48105-2303 | 2006-07-06 |
| 1750606083 | Regents of The University of Michigan | Psychiatry & Neurology | 4260 Plymouth Rd, Ann Arbor, MI 48109-2701 | 2010-03-30 |
| 1770518839 | Regents of The University of Michigan | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316590599 | Susan Patricia Brown | Psychiatry & Neurology | 13800 Brush St, Highland Park, MI 48203-3107 | 2019-07-17 |
| 1730563545 | Insync Behavioral Health Pllc | Psychiatry & Neurology | 8 N Vista, Auburn Hills, MI 48326-1417 | 2015-07-13 |
| 1942319074 | Norman S Miller Md Jd Pllc | Psychiatry & Neurology | 716 Northlawn Ave, East Lansing, MI 48823-3059 | 2006-08-30 |
| 1528612843 | American Trinity Psychiatry Pllc | Psychiatry & Neurology | 1655 W Big Beaver Rd, Troy, MI 48084-3501 | 2019-07-25 |
| 1093373763 | Agnes Wrobel Psychiatry Pllc | Psychiatry & Neurology | 41400 Dequindre Rd Ste 121, Sterling Heights, MI 48314-3751 | 2019-05-29 |
| 1932459567 | Gerald A. Shiener, M.d.,p.c. | Psychiatry & Neurology | 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 | 2012-09-11 |
| 1851604821 | James Bartunek, M.d. PC | Psychiatry & Neurology | 1460 Walton Blvd, Suite 215, Rochester Hills, MI 48309-1768 | 2010-07-20 |
| 1487885513 | Umer Farooq | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2009-08-06 |
| 1992845028 | Joyce M Gregory | Psychiatry & Neurology | 854 Washington Ave, Holland, MI 49423-7144 | 2007-02-07 |
| 1922168798 | Sarah R. Zamari | Psychiatry & Neurology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2006-12-11 |
| Find all providers with the same taxonomy | ||||
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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.