DR. MYUNG HEE PARK (NPI# 1205875986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205875986 |
| Entity Type | Individual |
| Full Name | DR. MYUNG HEE PARK |
| Credential | M.D. |
| Practice Address |
1802 Yakima Ave Ste 302 Tacoma WA 98405-5305 |
| Practice Telephone | 2536271244 |
| Practice Fax Number | 2536276576 |
| Mailing Telephone | 2536271244 |
| Mailing Fax Number | 2536276576 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD60931616 | WA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Q4238 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D63218 | MD | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
D63218 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 408288500 | 05 | |
| TX | 349207601 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8FC783 | 01 |
| MD | BLUE CROSS/BLUE SHIELD | 647078-01 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6550 Fannin St, Suite 1401, Houston, TX 770302717 | 7134411100 | 7137902643 |
| 2709 Hemlock St, Bremerton, WA 983102623 | 3607826000 | 3607826099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710342472 | Myung Park | Peer Specialist | 3050 White Plains Road, Bronx, NY 10467 | 2015-12-23 |
| 1134527047 | Myung Park | Dentist | 7770 Sightseeing Rd, Dencom, Fort Benning, GA 31905-3764 | 2014-12-09 |
| 1699031633 | Myung N Park I | Massage Therapist | 5006 Center St, Suite #d, Tacoma, WA 98409-2314 | 2012-04-04 |
| 1831425545 | Myung Kyu Park | Acupuncturist | 4671 Express Dr N, Ronkonkoma, NY 11779-5562 | 2009-10-30 |
| 1639389679 | Myung S Park | Surgery | 200 1st St Sw, Rochester, MN 55905 | 2007-05-22 |
| 1093753162 | Myung Park | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-06-02 |
| Street Address |
1802 YAKIMA AVE STE 302 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659869 | Liliya Artym | Nurse Practitioner | 1802 Yakima Ave Ste 302, Tacoma, WA 98405-5305 | 2019-10-02 |
| 1417149576 | Amrit Guptan | Internal Medicine | 1802 Yakima Ave Ste 302, Tacoma, WA 98405-5305 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740522127 | Takor Besong Arrey-mbi | Internal Medicine | Madigan Army Medicalcenter 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-03-22 |
| 1083778260 | Edward Charles Horwitz | Internal Medicine | Cardiology, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2006-12-21 |
| 1720049745 | Olaf Hedrich | Internal Medicine | 1802 S Yakima Ave, Suite 307, Tacoma, WA 98405-5305 | 2006-03-29 |
| 1386615433 | Ahmad M Slim | Internal Medicine | 1901 South Cedar St, Suite 301, Tacoma, WA 98405 | 2006-01-27 |
| 1407833189 | Eric A. Shry | Internal Medicine | 9040a Reid Street, Mchj-clq-c, Tacoma, WA 98431-1100 | 2005-12-23 |
| 1730163957 | John P Nagle | Internal Medicine | 1901 South Cedar, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 | 2005-12-01 |
| 1255314944 | Mark Isadore Hainer | Internal Medicine | Madigan Army Medical Center 9040 Jackson Avenue, Tacoma, WA 98431-8561 | 2005-11-28 |
| 1740546407 | Adefolakemi Martha Babatunde | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405 | 2012-04-07 |
| 1881989945 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 307, Tacoma, WA 98405-4499 | 2011-06-16 |
| 1699060756 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 302, Tacoma, WA 98405-4499 | 2011-06-16 |
| Find all providers in TACOMA | ||||
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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.