DANIEL ILWOO PARK (NPI# 1376070359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376070359 |
Entity Type | Individual |
Full Name | DANIEL ILWOO PARK |
Credential | MD |
Practice Address |
Building S-555 Apo AP 96271 |
Mailing Address |
Cmr 388 Box 1072 Apo AP 96208-0011 |
Practice Telephone | 3157375631 |
Enumeration Date | 2017-05-22 |
Last Update Date | 2018-09-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 31126 | NE | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
9040 Jackson Ave, Tacoma, WA 984310001 | (253) 968-0369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740739531 | Daniel Ingun Park | Physical Therapist | 4214 162nd St Fl 1, Flushing, NY 11358-4156 | 2016-09-22 |
1649605262 | Daniel Y Park | Physical Therapist | 1001 Kamokila Blvd Ste 127, Kapolei, HI 96707-2097 | 2013-09-13 |
1699054577 | Daniel Ilwoo Park | Massage Therapist | 15433 Country Club Dr, Unit A206, Mill Creek, WA 98012-1260 | 2011-08-10 |
1447581186 | Daniel Jinsang Park | Dentist | 6777 Westminster Blvd Ste C, Westminster, CA 92683-8057 | 2010-01-20 |
1518197938 | Daniel Park | Emergency Medicine | 3300 Douglas Blvd Ste 405, Roseville, CA 95661-3841 | 2009-07-20 |
1952546533 | Daniel Park | Plastic Surgery | 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 | 2008-12-10 |
1124201801 | Daniel Park | Psychiatry & Neurology | 1707 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2353 | 2007-12-17 |
1598882029 | Daniel I Park | Denturist | 30816 Pacific Hwy S, Federal Way, WA 98003-4902 | 2007-03-22 |
1831239391 | Daniel Do Young Park | Family Medicine | 6019 Roosevelt Ave, Suite #201, Woodside, NY 11377-3537 | 2007-02-07 |
1598803116 | Daniel C Park | Dentist | 1202 Beaumont Ave, Beaumont, CA 92223-1506 | 2007-02-03 |
Street Address |
BUILDING S-555 |
City | APO |
State | AP |
Zip Code | 96271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124686472 | Oscar Christian | Military Health Care Provider | Hospital: Wh3s9a 549 Hc/baach, Unit 15245, Apo, AP 96271 | 2019-06-02 |
1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
1003375924 | Kevin Scott Floyd | Physician Assistant | Camp Humphrey's, Apo, AP 96271 | 2019-03-19 |
1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
1932687340 | Jennifer Marie Sisson | Military Health Care Provider | 4-2 Arb, Apo, AP 96271 | 2018-07-30 |
1356852818 | Allison G White | Optometrist | Bdaach/549th Hospital Center Usag Humphreys Bldg.# 3030, Apo, AP 96271 | 2017-10-23 |
1871014902 | Charlie Kim | Dentist | Camp Humphreys, Carius Dental Clinic Bldg 3020, Apo, AP 96271 | 2017-06-28 |
1093245656 | Cindy Rosemarie Bowers | Social Worker | Bldg 370 Camp Humphreys, Wh3s9a 549 Hc/baach Unit 15245, Apo, AP 96271 | 2017-06-15 |
1952836678 | David J Ahn | Student in an Organized Health Care Education/Training Program | Unit 15190 Box Pyongtaek, Apo, AP 96271 | 2017-05-01 |
1326491903 | Nathan Hoi-king Kwan | Preventive Medicine | Usag Humphreys, Bldg. #3030, Unit #15245, Apo, AP 96271 | 2016-07-19 |
Find all providers in zip 96271 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881052793 | Victoria Okpala | General Practice | Bldg 9424 Battalion Ave, Apo, AA 76544 | 2016-02-05 |
1063883585 | Charl Woo | General Practice | Usag Camp Humphreys, Bldg. # 3030, Apo, AP 96271 | 2015-10-09 |
1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
1316359417 | Timothy A Gocke | General Practice | Camp Walker, Wood Clinic, Apo, AP 96218 | 2014-05-22 |
1942648787 | Andre C. L. Liem | General Practice | Vilseck Scmh, Bldg 701, Apo, AE 09112 | 2013-06-13 |
1508203225 | Charles Robert Blackwell | General Practice | Cmr 411 Box 1532, Apo, AE 09112-0016 | 2013-06-04 |
1063859809 | Lisa Shaw | General Practice | Bldg 10506 Euphrates River Valley Road, Connor Troop Medical Center, Fort Drum Ny, Apo, AA 13602 | 2013-06-03 |
1982959771 | Matthew Puderbaugh | General Practice | 86th Medical Group Unit 3215, Apo, AE 09094 | 2012-07-17 |
1740475151 | Shimul Shah Patel | General Practice | Cmr 416 Box 799, Apo, AE 09140 | 2007-09-10 |
1326239559 | Michael Alan Redd | General Practice | 501 Sbde, Hhc, Unit 15476, Box 146, Apo, AP 96260 | 2007-08-05 |
Find all providers in APO |
Please comment or provide details below to improve the information on DANIEL ILWOO 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.