CAROLINE PARK (NPI# 1396031068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396031068 |
Entity Type | Individual |
Full Name | CAROLINE PARK |
Credential | M.D. |
Practice Address |
5323 Harry Hines Boulevard Dallas TX 75390 |
Practice Telephone | 2146483762 |
Enumeration Date | 2011-06-21 |
Last Update Date | 2019-09-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 1396031068 | TX | Allopathic & Osteopathic Physicians |
N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
1396031068 | TX | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1500 San Pablo St Fl 7, Los Angeles, CA 900335313 | 3234426254 | |
2051 Marengo Street, Ipt, C5l100, La County / Usc Medical Center, Los Angeles, CA 90033 | 3234098597 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811230139 | Caroline Kim Park | Pediatrics | 801 S Chevy Chase Dr Ste 200, Glendale, CA 91205-4435 | 2013-04-04 |
1275162133 | Caroline Park | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-04-03 |
1396270989 | Caroline Park | Student in an Organized Health Care Education/Training Program | 10 Union Sq E, New York, NY 10003-3314 | 2017-04-21 |
1710272539 | Caroline Y Park | Pharmacist | 12197 Sunset Hills Rd, Reston, VA 20190-3208 | 2011-06-09 |
1417010737 | Caroline Hyunjung Park | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2006-12-18 |
1417988692 | Caroline Park | Pharmacist | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2006-07-05 |
Street Address |
5323 HARRY HINES BOULEVARD |
City | DALLAS |
State | TX |
Zip Code | 75390 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558365510 | David Edward Rogers | Obstetrics & Gynecology | 5323 Harry Hines Boulevard, Dallas, TX 75390-7208 | 2005-06-08 |
1558986273 | Lauren Bell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-7200 | 2020-06-09 |
1881214070 | Rosalina Magalhaes Pereira | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-17 |
1124647367 | Emma Lucille Van Winkle | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390-9109 | 2020-04-08 |
1902434061 | Nicholas Cain Boswell | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-04-01 |
1063040566 | Jeffrey Isaac Traylor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-30 |
1639706245 | Sarah Reddy | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2020-03-24 |
1427603273 | Molly Bryant | Nurse Practitioner | 5323 Harry Hines Boulevard, Dallas, TX 75390-9257 | 2019-08-08 |
1316509995 | Emily Wong | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-03 |
1548822463 | Neha Hanoman Rajput | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Boulevard, Dallas, TX 75390 | 2019-07-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
Find all providers in zip 75390 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043824857 | Oasis Surgical Assistants LLC | Surgery | 170 Blackberry Run Dr, Dallas, GA 30132-1174 | 2020-08-31 |
1609381607 | Andy Hall | Surgery | 821 Peavy Rd, Dallas, TX 75218-2151 | 2017-12-12 |
1215389234 | Tayyaba Maqbool Malik | Surgery | Ut Southwestern Medical Center 5323 Blvd, Dallas, TX 75390-0001 | 2016-07-02 |
1629435516 | Premier Health Specialists | Surgery | 10740 N Central Expy Ste 710, #710, Dallas, TX 75231-2161 | 2016-01-22 |
1679948715 | Tiffany Horrigan | Surgery | 5323 Harry Hines Blvd # Mc9159, Dallas, TX 75390-7208 | 2015-12-01 |
1184007460 | Brandon Levy | Surgery | 2140 Medical District Dr, 2067, Dallas, TX 75235-8077 | 2015-07-03 |
1679951511 | Jamaal Louis Benjamin | Surgery | 751 S Cesar Chavez Blvd, Dallas, TX 75201-5821 | 2015-05-12 |
1114314655 | Rachel Cox | Surgery | 5323 Harry Hines Blvd Dept of Surgery, Dallas, TX 75390-7208 | 2015-04-22 |
1811304173 | Mirza Baig Md Pllc | Surgery | 9101 Lbj Freeway, Ste 710, Dallas, TX 75243-1912 | 2014-07-18 |
1861804973 | Michael Sutker, M.d., P.a. | Surgery | 7777 Forest Ln Ste A214, Dallas, TX 75230-2556 | 2014-05-22 |
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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.