KWAN JUN PARK (NPI# 1265790364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265790364 |
| Entity Type | Individual |
| Full Name | KWAN JUN PARK |
| Credential | M.D. |
| Practice Address |
6445 Main St Ste 2500 Houston TX 77030 |
| Mailing Address |
6445 Main St Ste 2500 Houston TX 77030-1502 |
| Practice Telephone | 7134419000 |
| Mailing Telephone | 7134419000 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2019-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | R6866 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 393153701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4301 W Markham St, Slot #783, Little Rock, AR 722057101 | 5016868000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588990840 | Kwan Woo Park | Acupuncturist | 17 Spectrum Pointe Dr, 506, Lake Forest, CA 92630-2277 | 2009-10-21 |
| 1144417395 | Kwan Park | Physical Therapist | 111 N Central Ave, #260, Hartsdale, NY 10530-1903 | 2007-10-02 |
| Street Address |
6445 MAIN ST STE 2500 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396705380 | Michael H Huo | Orthopaedic Surgery | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2006-03-24 |
| 1740817881 | Justin Omead Aflatooni | Student in an Organized Health Care Education/Training Program | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2020-03-26 |
| 1841824091 | Anna Lashkarev | Physician Assistant | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2020-02-26 |
| 1043850647 | Samantha Paige Baker | Specialist/Technologist | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2020-01-10 |
| 1659939148 | Brian Matthew Phelps | Student in an Organized Health Care Education/Training Program | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2019-05-30 |
| 1326601030 | Austin Edward Wininger | Student in an Organized Health Care Education/Training Program | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2019-04-17 |
| 1558831073 | Collin Weaver | Physician Assistant | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2018-11-27 |
| 1588152524 | Alex Han | Student in an Organized Health Care Education/Training Program | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2018-04-25 |
| 1083118137 | Michael Olin Cotton | Student in an Organized Health Care Education/Training Program | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2018-03-22 |
| 1124477302 | Carina Michelle Nasrallah | Specialist/Technologist | 6445 Main St Ste 2500, Houston, TX 77030-1502 | 2016-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662212 | Renaxis, Pllc | Orthopaedic Surgery | 4126 Southwest Fwy Ste 1220, Houston, TX 77027-7338 | 2019-04-23 |
| 1740742402 | Otx Care of Tx Iv, LLC | Orthopaedic Surgery | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1174050926 | Charlie Dee Wilson | Orthopaedic Surgery | 1885 El Paseo St Apt 33212, Houston, TX 77054-3069 | 2017-05-11 |
| 1518326859 | Texas Regional Spine Center, Pa | Orthopaedic Surgery | 9400 Westheimer Rd Ste 4, Houston, TX 77063-3468 | 2016-02-15 |
| 1427426345 | Patricia Faye Beaver | Orthopaedic Surgery | 3317 Amherst St, Houston, TX 77005-3333 | 2015-09-09 |
| 1518386572 | Kenneth B Ford Jr. | Orthopaedic Surgery | 1218 Fountain View Dr, Houston, TX 77057-2204 | 2014-04-07 |
| 1144587924 | Byron Parker York | Orthopaedic Surgery | 2155 Goldsmith St, Houston, TX 77030-1201 | 2012-04-18 |
| 1326323791 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 915 Gessner, Pro. 3, Suite 560, Houston, TX 77024 | 2011-10-18 |
| 1780978775 | James Terrance Carson | Orthopaedic Surgery | 11307 Fm 1960 Rd W Ste 320, Houston, TX 77065 | 2011-06-07 |
| 1831325026 | Eddie Huang | Orthopaedic Surgery | 11914 Astoria Blvd Ste 670, Medical Plaza 1, Houston, TX 77089-6081 | 2009-06-02 |
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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.