STEVEN PARK (NPI# 1396300323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396300323 |
| Entity Type | Individual |
| Full Name | STEVEN PARK |
| Credential | MD |
| Practice Address |
601 Elmwood Avenue Box Med Rochester NY 14642-0001 |
| Mailing Address |
280 E Broad St Apt 612 Rochester NY 14604-1726 |
| Practice Telephone | 5852752873 |
| Mailing Telephone | 2407230328 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1649392945 | Steven Yong Park | Dentist | 3246 W Sepulveda Blvd # 105, Torrance, CA 90505-2774 | 2007-04-06 |
| 1962477042 | Steven Young Park | Otolaryngology | 3400 Bainbridge Ave # Map3, Bronx, NY 10467-2404 | 2006-02-22 |
| 1629447925 | Steven Yeong-soo Park | Physical Therapist | 735 Sw 158th Ave, Suite 160, Beaverton, OR 97006-4952 | 2015-09-17 |
| 1538572680 | Steven Park | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2014-06-06 |
| 1730306374 | Steven J Park | Optometrist | 395 Cascade Mall Dr, Burlington, WA 98233-3255 | 2007-04-18 |
| 1891707709 | Steven Park | Internal Medicine | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2006-08-12 |
| 1033144928 | Steven T Park | Internal Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2006-07-11 |
| 1457385817 | Steven Earl Park | Surgery | 10506 Montgomery Road, Suite 302, Cincinnati, OH 45242 | 2006-07-10 |
| 1720049927 | Steven L Park | Nurse Anesthetist, Certified Registered | 407 S White St, N/a, Mount Pleasant, IA 52641-2262 | 2006-03-29 |
| 1104897495 | Steven K. Park | Internal Medicine | 1011 Baldwin Park Blvd, Hospitalist Office, Baldwin Park, CA 91706-5806 | 2006-01-27 |
| Street Address |
601 ELMWOOD AVENUE BOX MED |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932547627 | Anthony J. Ocon | Internal Medicine | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0002 | 2013-06-05 |
| 1285290650 | Gabriella Logrono | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-11 |
| 1215593678 | Timothy J Lee Jr. | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-11 |
| 1598321945 | Shireen Usman | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-10 |
| 1902462351 | Nguyen Mai | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-10 |
| 1215593637 | Samuel Olukayode Ayo | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-10 |
| 1609432020 | Prerana Bhattacharya | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-10 |
| 1508422080 | Alexandra France | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-10 |
| 1124683834 | Jane Qu | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-08 |
| 1629633474 | Minh Thu Thi Nguyen | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Med, Rochester, NY 14642-0001 | 2019-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
| Find all providers in zip 14642 | ||||
| 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 |
|---|---|---|---|---|
| 1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
| 1497362925 | Alexandra Michelle Hasiotis | Student in an Organized Health Care Education/Training Program | 36 Copperfield Rd, Rochester, NY 14615-1102 | 2020-09-29 |
| 1750905873 | Anna C Lin | Student in an Organized Health Care Education/Training Program | 419 7th Ave Sw, Rochester, MN 55902-3216 | 2020-06-04 |
| 1558985101 | Erin Marissa Hannigan | Student in an Organized Health Care Education/Training Program | 4802 8th St Sw, Rochester, MN 55902-8711 | 2020-05-29 |
| 1710501408 | Anna Dowling | Student in an Organized Health Care Education/Training Program | 609 E 2650 North Rd, Rochester, IL 62563-8108 | 2020-05-29 |
| 1689296386 | Bryan Liming Jan | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 632, Rochester, NY 14642-0001 | 2020-05-15 |
| 1780206474 | Robert Tainsh | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box 604, Rochester, NY 14642-0001 | 2020-05-15 |
| 1578185302 | Shaahin Dadjoo | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave Ofc 683, Rochester, NY 14620-2913 | 2020-05-14 |
| 1578185534 | Starling Tolliver | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # Ac-5696, Rochester, NY 14642-0001 | 2020-05-13 |
| 1548882707 | Christian A Archer | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Box Hh 37, Rochester, NY 14642-0001 | 2020-05-11 |
| Find all providers in ROCHESTER | ||||
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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.