DR. SUNG EUN PARK (NPI# 1215103171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215103171 |
| Entity Type | Individual |
| Full Name | DR. SUNG EUN PARK |
| Credential | MD |
| Practice Address |
980 W. Ironwood Drive Suite 302 Coeur D'alene ID 83814 |
| Practice Telephone | 2082925437 |
| Practice Fax Number | 2082925441 |
| Mailing Telephone | 2082925437 |
| Mailing Fax Number | 2082925441 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2013-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | M11886 | ID | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036120274 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 6353386-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558927913 | Sung Uk Park | Acupuncturist | 22001 Jamaica Ave Fl 2, Queens Village, NY 11428-2140 | 2019-05-11 |
| 1922493345 | Sung Keun Park | Dentist | 467 S Davy Crockett Pkwy Ste 1, Morristown, TN 37813-1995 | 2015-04-02 |
| 1073864831 | Sung Ho Park | Acupuncturist | 700 Palisadium Dr, Cliffside Park, NJ 07010-3239 | 2012-09-19 |
| 1538427786 | Sung Park | Dentist | 6804 43rd Ave Fl 1, Woodside, NY 11377-5153 | 2012-04-25 |
| 1144407230 | Sung Ah Park | Acupuncturist | 670 E Commonwealth Ave # A, Fullerton, CA 92831-4514 | 2008-01-30 |
| 1386256576 | Sung Park | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-19 |
| 1033670914 | Sung Woong Park | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-03-25 |
| 1962998070 | Sung Park | Pharmacist | 13410a Guy R Brewer Blvd, Jamaica, NY 11434-3728 | 2018-07-02 |
| 1154860104 | Sung H Park | Orthotic Fitter | 5602 Oakham Pl, Centreville, VA 20120-5214 | 2017-02-22 |
| 1720532344 | Sung Seong Park | Dentist | 530 S Maiden Ln, Joplin, MO 64801-3084 | 2016-08-11 |
| Street Address |
980 W. IRONWOOD DRIVE SUITE 302 |
| City | COEUR D'ALENE |
| State | ID |
| Zip Code | 83814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992861934 | Tamatha Frizzell Zemzars | Pediatrics | 700 W. Ironwood Drive, Suite 155, Coeur D'alene, ID 83814-4462 | 2006-12-27 |
| 1487049367 | Matthew Parker | Pediatrics | Lakeside Pediatric & Adolescent Medicine, 980 W Ironwood Drive Suite 302, Coeur D'alene, ID 83814 | 2015-03-30 |
| 1841516218 | Randi Leigh Edwards | Pediatrics | 700 W. Ironwood Drive, Suite 155, Coeur D'alene, ID 83814-2666 | 2010-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1316468002 | Shannon Marie Seckel | Pediatrics | 420 N 2nd Ave Ste 100, Sandpoint, ID 83864-1552 | 2017-07-03 |
| 1669918769 | University of Utah Pediatric Services | Pediatrics | 1645 Pancheri Dr, Idaho Falls, ID 83402-3169 | 2017-01-12 |
| 1366836843 | Andrew Nolan Monson | Pediatrics | 775 Pole Line Rd W Ste 111, Twin Falls, ID 83301-5819 | 2015-03-23 |
| 1699172262 | Boundary Regional Community Health Center, Inc. | Pediatrics | 6833 El Paso St, Bonners Ferry, ID 83805-8569 | 2014-11-26 |
| 1801216940 | Seth Branahl | Pediatrics | 520 S Eagle Rd Ste 2209, Meridian, ID 83642-6354 | 2014-04-16 |
| 1437577483 | Kaitlin Burke | Pediatrics | 100 E Idaho St Ste 401, Boise, ID 83712-6267 | 2014-04-06 |
| 1700149887 | Cristina Leon | Pediatrics | 9927 W Gibson Jack Rd, Pocatello, ID 83204-4964 | 2012-06-22 |
| 1063775286 | Abram Collard | Pediatrics | 1236 Bond Ave Ste B, Rexburg, ID 83440-3503 | 2012-06-21 |
| 1205104593 | Pullman Regional Hospital Clinic Network LLC | Pediatrics | 1420 S Blaine St Ste 5, Moscow, ID 83843-3973 | 2011-12-01 |
| Find all providers with the same taxonomy | ||||
| City | COEUR D'ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on DR. SUNG EUN PARK.
| 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.