MR. TAESUN PARK (NPI# 1376763623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376763623 |
Entity Type | Individual |
Full Name | MR. TAESUN PARK |
Credential | L.AC. |
Practice Address |
5441 Buford Hwy Ne # Suit202 Doraville GA 30340-1124 |
Mailing Address |
5441 Buford Hwy Ste 202 Daraville GA 30340-1168 |
Practice Telephone | 4044889648 |
Mailing Telephone | 7704517848 |
Enumeration Date | 2007-04-27 |
Last Update Date | 2019-02-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171100000X | Acupuncturist | 125 | GA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | ACUPUNCTURE LICENSE NUMBE | 125 | 01 |
Street Address |
5441 BUFORD HWY NE # SUIT202 |
City | DORAVILLE |
State | GA |
Zip Code | 30340-1124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003300757 | Moensania Carisa Phillips | Nurse Practitioner | 4004 Evans Road, Atlanta, GA 30340 | 2018-06-17 |
1326545534 | Teri Lynn Hill | Case Manager/Care Coordinator | 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 | 2018-04-12 |
1174043541 | Woohyeon Cho | Acupuncturist | 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 | 2017-06-26 |
1326599614 | Tara Vanvranken | Chiropractor | 3166 Chestnut Dr Ste 100&200, Atlanta, GA 30340 | 2016-10-20 |
1073900056 | Presly Ouy | Pharmacist | 3975 English Oak Dr, Atlanta, GA 30340 | 2015-04-17 |
1336389063 | Jose R Muniz | Licensed Practical Nurse | 3061 Oakcliff Rd, 149, Doraville, GA 30340 | 2009-02-20 |
1316109200 | John David Hamilton | Radiology | 4000 Dekalb Technology Pkwy Suite 200, Kaiser Permanente Dekalb Technology Center, Atlanta, GA 30340 | 2008-07-01 |
1104003979 | Mariya A. Fishman | Radiology | 4000 Dekalb Technology Parkway, Ste. 400 Kaiser Permanente-dekalb Technology Center, Atlanta, GA 30340 | 2008-01-23 |
1346441029 | Lana Marie Chase | Clinical Nurse Specialist | 3490 Bowling Green Way, Atlanta, GA 30340 | 2007-05-30 |
1225242399 | Expert Pain Clinic LLC | Chiropractor | 3042 Oakciff Rd, Site210, Doraville, GA 30340 | 2007-05-09 |
Find all providers in zip 30340 |
Taxonomy Code | 171100000X |
Grouping | Other Service Providers |
Classification | Acupuncturist |
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972125094 | Element Acupuncture Inc. | Acupuncturist | 5441 Buford Hwy Ne Ste 203-204, Doraville, GA 30340-1124 | 2020-05-12 |
1578055455 | Fangzhou Chi | Acupuncturist | 5150 Buford Hwy Ne Ste B170, Doraville, GA 30340-1163 | 2018-06-05 |
1174043541 | Woohyeon Cho | Acupuncturist | 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 | 2017-06-26 |
1205361748 | Shallowford Herbals,llc | Acupuncturist | 6021 New Peachtree Rd, Doraville, GA 30340-1012 | 2017-04-21 |
1942634357 | Meu Keon Kim | Acupuncturist | 5269 Buford Hwy Ne, Suite 15, Doraville, GA 30340-1154 | 2013-08-22 |
1346460714 | Sung Ho Kim | Acupuncturist | 5269 Buford Hwy Ne Ste 15, Doraville, GA 30340-1100 | 2007-04-26 |
1114046208 | Henry Kyungmo Chung | Acupuncturist | 5953 Buford Hwy Ne, # 201, Doraville, GA 30340-1375 | 2007-03-28 |
1396391157 | Silver Sun Acunetwork LLC | Acupuncturist | 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340-1168 | 2019-08-16 |
1336601640 | Chinese Medical Center, Inc. | Acupuncturist | 5150 Buford Hwy Ne Ste B170, Doraville, GA 30340-1163 | 2019-04-04 |
1770082323 | Fan Xu | Acupuncturist | 6021 New Peachtree Rd, Doraville, GA 30340-1012 | 2018-02-09 |
Find all providers in DORAVILLE |
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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.