CHANG WOO PARK


Address: 2109 Hughes Dr, Toledo, OH 43606-3856
Phone: 4192917322

CHANG WOO PARK (NPI# 1235757543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235757543
Entity Type Individual
Full Name CHANG WOO PARK
Credential MD
Practice Address 2109 Hughes Dr
Toledo
OH 43606-3856
Practice Telephone 4192917322
Enumeration Date 2020-07-13
Last Update Date 2020-07-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 57.248924 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 2109 HUGHES DR
City TOLEDO
State OH
Zip Code 43606-3856

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821091687 Michael G Moront Thoracic Surgery (Cardiothoracic Vascular Surgery) 2109 Hughes Dr, Ste 720, Toledo, OH 43606-5110 2005-05-24
1356966311 Travis Mazur Student in an Organized Health Care Education/Training Program 2109 Hughes Dr, Toledo, OH 43606-3856 2020-06-15
1508487331 Erica Potts Student in an Organized Health Care Education/Training Program 2109 Hughes Dr, Jobst Tower, Floor E, Toledo, OH 43606 2020-05-04
1861011371 Neetan Dhillon Student in an Organized Health Care Education/Training Program 2109 Hughes Dr, Toledo, OH 43606-3856 2020-04-14
1558980318 Megan M Austin Student in an Organized Health Care Education/Training Program 2109 Hughes Dr, Conrad Jobst Tower Floor E, Toledo, OH 43606 2020-04-13
1972132355 Hannah Ashworth Student in an Organized Health Care Education/Training Program 2109 Hughes Dr, Toledo, OH 43606-3856 2020-04-07
1982253597 Fedor Lurie Specialist/Technologist, Other 2109 Hughes Dr, Toledo, OH 43606-3856 2019-09-06
1528628997 Alexandra Amelia Lekson Emergency Medicine 2109 Hughes Dr, Jobst Tower 3rd Floor, Toledo, OH 43606 2019-06-18
1609436377 Joseph Alecusan Student in an Organized Health Care Education/Training Program 2109 Hughes Dr, Toledo, OH 43606-3856 2019-06-15
1497315303 Mariah Truscinski Student in an Organized Health Care Education/Training Program 2109 Hughes Dr, Toledo, OH 43606-3856 2019-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578172359 Hebah Al Absi Student in an Organized Health Care Education/Training Program 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 2020-07-28
1487278594 Daniel Mark Barnett Student in an Organized Health Care Education/Training Program 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 2020-06-04
1215565908 Zara Hussain Student in an Organized Health Care Education/Training Program 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 2020-03-30
1821634643 Shawn Tompkins Jr. Case Manager/Care Coordinator 3450 Central, Sutiee 366 E, Toledo, OH 43606 2019-11-27
1972065811 Toledo Behavior Therapy LLC Psychologist 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 2019-04-01
1710469135 Kari Oberlin Social Worker 3903 Woodley Rd Suite 300, Toledo, OH 43606 2018-09-01
1750877759 Maria Rabbani Student in an Organized Health Care Education/Training Program Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 2018-07-03
1770075350 Kelly Ann Mcclure Student in an Organized Health Care Education/Training Program The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 2018-05-31
1790289874 Sohaib Muhammad Lateef Student in an Organized Health Care Education/Training Program 2130 West Central Ave, Toledo, OH 43606 2018-03-22
1063916427 Oxana Zarudskaya Student in an Organized Health Care Education/Training Program Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 2018-03-21
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861988875 Sandeep Randhawa Pediatrics Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 2018-07-03
1871013656 Seyed Sahand Banisadr Pediatrics 2109 Hughes Dr Fl E, Toledo, OH 43606-3856 2017-06-22
1407128994 L Bhandaru Md & S Bhandaru Md Inc Pediatrics 2230 Laskey Road, Toledo, OH 43613 2012-01-31
1386948057 Aruna Matani Pediatrics 2923 Tracewood Dr, Toledo, OH 43617-2305 2011-01-10
1215256086 Rakesh Kumar Pediatrics 2121 Hughes Dr Ste 220, Toledo, OH 43606-3845 2010-05-19
1740445105 Tiffany Lisk Pediatrics 2222 Cherry Street, Suite 1100, Toledo, OH 43608 2008-07-25
1114049079 Twin Oaks Pediatrics Pediatrics 3949 Sunforest Ct Ste 203, Toledo, OH 43623-4454 2007-04-04
1235219494 Joseph W Gray IIi Pediatrics 1 Aurora L Gonzalez Dr, Toledo, OH 43609-2783 2006-10-16
1497855571 Mary Zakelj Pediatrics 3900 Sunforest Ct Ste 215, Toledo, OH 43623-4440 2006-09-25
1891718243 Huiyuan Jiang Pediatrics 2222 Cherry St Ste 2600, Toledo, OH 43608 2006-07-26
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Competitor

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City TOLEDO
Zip Code 43606

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Dataset Information

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.

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