DR. JONGBAE JAY PARK (NPI# 1194987792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194987792 |
| Entity Type | Individual |
| Full Name | DR. JONGBAE JAY PARK |
| Credential | KMD, PHD, L.AC. |
| Practice Address |
1910 Sedwick Rd Ste 400a Durham NC 27713-9428 |
| Practice Telephone | 9198136636 |
| Mailing Telephone | 9198136636 |
| Mailing Fax Number | 9198934404 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 490 | NC | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4822 Six Forks Rd, Suite 202, Raleigh, NC 276095269 | 9197249985 |
| Street Address |
1910 SEDWICK RD STE 400A |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-9428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| 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 |
|---|---|---|---|---|
| 1760097208 | Jonathan Eli Walker | Acupuncturist | 3622 Lyckan Pkwy Ste 6004, Durham, NC 27707-2539 | 2020-09-11 |
| 1437771383 | Durham Acupuncture Associates | Acupuncturist | 4113 Capitol St Ste A, Durham, NC 27704-2390 | 2020-05-14 |
| 1235640426 | Wellville, Ltd | Acupuncturist | 3401 University Dr, Durham, NC 27707-2656 | 2017-10-16 |
| 1437536695 | Jason Cox | Acupuncturist | 518 Auburn Square Dr, Durham, NC 27713-8229 | 2015-04-27 |
| 1295127280 | Exponential Wellness LLC | Acupuncturist | 1410 Broad St, Durham, NC 27705-3535 | 2015-02-27 |
| 1982019881 | Brandy Jo Lynn | Acupuncturist | 904 Dacian Ave, Durham, NC 27701-1702 | 2014-06-30 |
| 1194160226 | Lorraine Fendell | Acupuncturist | 2904 Hillsborough Rd, Traditional Acupuncture, Durham, NC 27705-4048 | 2013-05-02 |
| 1922308311 | Maria Moraca | Acupuncturist | 2712 Carver St, Durham, NC 27705-2022 | 2010-11-01 |
| 1124339189 | Kimberly Lebrun | Acupuncturist | 2503 Englewood Ave, Durham, NC 27705-4027 | 2010-06-24 |
| 1780833947 | Miles Edward Rowe | Acupuncturist | 7 Kellom Ct, Durham, NC 27713-2331 | 2008-09-12 |
| Find all providers in DURHAM | ||||
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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.