CHRISTINE DOHYUN PARK (NPI# 1326573767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326573767 |
| Entity Type | Individual |
| Full Name | CHRISTINE DOHYUN PARK |
| Practice Address |
1100 Wilford Hall Loop, Bldg 4554 59 Mdw/gme Jbsa - Lackland TX 78236 |
| Mailing Address |
1100 Wilford Hall Loop, Bldg 4554 59 Mdw/gme Jbsa - Lackland TX 78236-9908 |
| Practice Telephone | 2109169928 |
| Practice Fax Number | 2109169332 |
| Mailing Telephone | 2109169928 |
| Mailing Fax Number | 2109169332 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184113102 | Christine Park | Behavior Technician | 429 Cedar Ct S, Buffalo Grove, IL 60089-6627 | 2018-05-04 |
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1386038842 | Christine Park | Counselor | 45-445 Pua Inia St, Kaneohe, HI 96744-2937 | 2015-03-23 |
| 1861698326 | Christine Park | Dentist | Unit 15660, Apo, AP 96271-5660 | 2007-06-22 |
| 1417947052 | Christine Park | Anesthesiology | 1740 W Taylor St # 3200w, Chicago, IL 60612-7232 | 2005-10-25 |
| 1760048565 | Christine Park | Speech-Language Pathologist | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2019-05-16 |
| 1922568500 | Christine Miran Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2019-03-21 |
| 1639637408 | Christine S Park | Student in an Organized Health Care Education/Training Program | 345 E 24th St, New York, NY 10010-4020 | 2019-03-11 |
| 1326532797 | Christine Park | Pharmacist | 2301 Ranch Road 620 S, Lakeway, TX 78734-6240 | 2018-06-19 |
| 1417479775 | Christine Park | Physician Assistant | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2017-07-07 |
| Street Address |
1100 WILFORD HALL LOOP, BLDG 4554 59 MDW/GME |
| City | JBSA - LACKLAND |
| State | TX |
| Zip Code | 78236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093827214 | Peter M Williams Jr. | Radiology | 1100 Wilford Hall Loop, Bldg 4554, 59mdw/sghc, Jbsa - Lackland, TX 78236 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688930 | Kourtney Tapnio | Student in an Organized Health Care Education/Training Program | 8215 Summer Breeze Ln, Rosenberg, TX 77469-1846 | 2020-10-27 |
| 1932708666 | Candice Carriere | Student in an Organized Health Care Education/Training Program | 211 Terrace Creek Ct, Richmond, TX 77406-3590 | 2020-10-23 |
| 1922607373 | Benjamin Allen Barrett | Student in an Organized Health Care Education/Training Program | 12244 Langley Hill Dr, Fort Worth, TX 76244-5544 | 2020-10-17 |
| 1538766597 | Billy Derek Huddleston | Student in an Organized Health Care Education/Training Program | 4661 Cool Ridge Ct, Fort Worth, TX 76133-3831 | 2020-10-02 |
| 1669089157 | Jacob Dainel Frost | Student in an Organized Health Care Education/Training Program | 1207 N Saint James Rd, Pilot Point, TX 76258-2715 | 2020-09-28 |
| 1821605569 | Madison Bettis | Student in an Organized Health Care Education/Training Program | 16609 Green Maze Ln, Helotes, TX 78023-3441 | 2020-09-27 |
| 1659987899 | Chinwe Nwakaego Dike | Student in an Organized Health Care Education/Training Program | 8023 Bueller Pass Ln, Richmond, TX 77407-1824 | 2020-09-22 |
| 1760098271 | Danielle Mortimer | Student in an Organized Health Care Education/Training Program | 1340 Prudential Dr Ste A, Dallas, TX 75235-4115 | 2020-09-20 |
| 1467067462 | Sami Al-aya | Student in an Organized Health Care Education/Training Program | 7114 Lyons Rd, Garland, TX 75043-6633 | 2020-09-15 |
| 1912512005 | Courtney Yates | Student in an Organized Health Care Education/Training Program | 2920 Northlake Cv, Tyler, TX 75703-7033 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | JBSA - LACKLAND |
| Zip Code | 78236 |
Please comment or provide details below to improve the information on CHRISTINE DOHYUN 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.