DR. STANLEY S. PARK (NPI# 1235294943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235294943 |
| Entity Type | Individual |
| Full Name | DR. STANLEY S. PARK |
| Other Name | DR. SOUNG-HO PARK |
| Credential | MD |
| Practice Address |
5300 Clinton Plaza Drive Knoxville TN 37912-3830 |
| Practice Telephone | 8656887563 |
| Practice Fax Number | 8656886252 |
| Mailing Telephone | 8656887563 |
| Mailing Fax Number | 8656886252 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD0000013517 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3190065 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285798306 | Stanley J Park | Dentist | 10025 Governor Warfield Pkwy Ste 218, Columbia, MD 21044-3340 | 2006-12-21 |
| 1730421983 | Stanley S Park | Ophthalmology | 608 Stanton L Young Blvd, Oklahoma City, OK 73104 | 2013-03-25 |
| Street Address |
5300 CLINTON PLAZA DRIVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37912-3830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098388 | Emily Katherine Hayes | Nurse Practitioner | 6626 Old Central Avenue Pike, Knoxville, TN 37912 | 2019-05-14 |
| 1063891620 | Sondra Haley | Counselor | 4610 Central Avenue Pike, Knoxville, TN 37912 | 2015-05-28 |
| 1518373257 | Andrew Clark | Case Manager/Care Coordinator | 100 Barberry Dr, Knoxville, TN 37912 | 2014-07-02 |
| 1265876940 | Annette Elise Long | Counselor | 4303 Central Ave.pike, Knoxville, TN 37912 | 2013-04-24 |
| 1346510393 | Lisa Taylor | Social Worker | 5800 Central Avenue Pike, Knoxville, TN 37912 | 2012-01-09 |
| 1447437447 | David Wesley Dickey IIi | Dentist | 5317 Clinton Hwy, Knoxville, TN 37912 | 2008-01-22 |
| 1962683573 | Eyexcel, Pllc | Optometrist | 715 Callahan Dr., Knoxville, TN 37912 | 2007-11-26 |
| 1538384995 | Chamberlain Chiropractic Clinic Inc | Chiropractor | 4409 Central Ave Pk, Suite 102, Knoxville, TN 37912 | 2007-04-13 |
| 1336232834 | Wesley Bruce Mclaughlin | Chiropractor | 2330 Merchants Dr., Knoxville, TN 37912 | 2006-10-02 |
| 1972073815 | Pell Enterprises | Home Health | 4303 Central Avenue Pike, Kno, TN 37912 | 2018-12-04 |
| Find all providers in zip 37912 | ||||
| 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 |
|---|---|---|---|---|
| 1205333481 | Summit Medical Group,pllc | Pediatrics | 1341 Branton Blvd Ste 102, Knoxville, TN 37922-8521 | 2018-04-12 |
| 1942643853 | Jennifer Lynne Jaynes | Pediatrics | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2013-04-10 |
| 1346510856 | Donald Eugene Lighter II | Pediatrics | 2120 River Sound Dr, Knoxville, TN 37922-5663 | 2012-01-01 |
| 1851536015 | Jennifer Leigh Damewood | Pediatrics | 1718 Saint Mary St Ste A, Knoxville, TN 37917-4518 | 2008-12-02 |
| 1316118714 | Pediatric Consultants At Cedar Bluff | Pediatrics | 9333 Park West Blvd Ste 104, Knoxville, TN 37923-4305 | 2008-03-13 |
| 1497845499 | Barbara Summers | Pediatrics | 2201 W Clinch Ave, Knoxville, TN 37916-2203 | 2006-10-13 |
| 1689764656 | Deborah Jones Christiansen | Pediatrics | 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 | 2006-10-13 |
| 1699860692 | David Sean Teaster | Pediatrics | 4741 Broadway, Knoxville, TN 37918 | 2006-10-04 |
| 1215037106 | Deborah Zimo | Pediatrics | 611 22nd St, Knoxville, TN 37916-2211 | 2006-09-22 |
| 1760585335 | Quynh Vu Wisniewski | Pediatrics | 4600 Asheville Hwy, Knoxville, TN 37914-3665 | 2006-09-07 |
| Find all providers in KNOXVILLE | ||||
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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.