BUMSOO PARK (NPI# 1376924373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376924373 |
| Entity Type | Individual |
| Full Name | BUMSOO PARK |
| Credential | MD |
| Practice Address |
20321 Farmington Rd Livonia MI 48152 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 2484734300 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2019-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301108105 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2799 W Grand Blvd, Detroit, MI 482022608 | 3139161601 |
| Street Address |
20321 FARMINGTON RD |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699741249 | Nancy M Dodson | Social Worker | 20321 Farmington Rd, Livonia, MI 48152-1411 | 2006-02-24 |
| 1770081341 | Nicolette Lauren Doto | Social Worker | 20321 Farmington Rd, Livonia, MI 48152-1411 | 2018-01-29 |
| 1205356912 | Courtney B Spensley | Family Medicine | 20321 Farmington Rd, Livonia, MI 48152-1411 | 2017-06-23 |
| 1780036400 | George Rostyslaw Wasylyshyn | Family Medicine | 20321 Farmington Rd, Livonia, MI 48152 | 2016-07-06 |
| 1760806939 | Cassidy Saylor | Physical Therapist | 20321 Farmington Rd, Livonia, MI 48152-1411 | 2014-02-09 |
| 1053733469 | Paul Jankowski | Physical Therapist | 20321 Farmington Rd, Livonia, MI 48152-1411 | 2014-01-21 |
| 1275897522 | Abigail Hoffman Eiler | Social Worker | 20321 Farmington Rd, Livonia, MI 48152-1411 | 2012-07-02 |
| 1558657700 | Christina Wendy Chiang | Family Medicine | 20321 Farmington Rd, Livonia, MI 48152 | 2011-06-27 |
| 1497067300 | Christina Nisonger Murphy | Family Medicine | 20321 Farmington Rd, Livonia, MI 48152-1411 | 2010-07-08 |
| 1760794671 | Keturah P Schacht | Family Medicine | 20321 Farmington Rd, Livonia, MI 48152-1411 | 2010-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867619 | Bashar Yalldo Md Plc | Family Medicine | 14700 Farmington Rd Ste 105, Livonia, MI 48154-5434 | 2020-09-30 |
| 1548881410 | Casey Lynn Russell | Family Medicine | 39070 Allen St, Livonia, MI 48154-4745 | 2020-05-02 |
| 1063067692 | Medical Pain Relief Cam Center, PC | Family Medicine | 10535 Farmington Rd, Livonia, MI 48150-5732 | 2019-08-09 |
| 1518529932 | Abbyrahmy Paranthaman | Family Medicine | 36475 Five Mile Rd Ofc, Livonia, MI 48154-1971 | 2019-07-05 |
| 1346779915 | Samantha Cherise Wein | Family Medicine | 33523 8 Mile Rd Ste M2, Livonia, MI 48152-4119 | 2017-06-07 |
| 1144617564 | Syeeda Alam | Family Medicine | 39201 7 Mile Rd Rm 140, Livonia, MI 48152 | 2015-04-23 |
| 1578808481 | Healthy Urgent Care, Pllc | Family Medicine | 29531 Plymouth Rd, Livonia, MI 48150-2125 | 2012-12-04 |
| 1932493269 | David Karle M.d Pllc | Family Medicine | 31450 Seven Mile Rd, Suite 107, Livonia, MI 48152 | 2011-06-03 |
| 1366752826 | Calvin Chu Tran | Family Medicine | 37595 7 Mile Rd Ste 210, Livonia, MI 48152-1003 | 2010-10-18 |
| 1972830479 | Jeffrey D. Rosenbaum D.o., P.C. | Family Medicine | 28481 7 Mile Rd, Livonia, MI 48152-3501 | 2009-11-04 |
| Find all providers in LIVONIA | ||||
Please comment or provide details below to improve the information on BUMSOO 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.