DR. EDWARD PARK (NPI# 1396907317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396907317 |
| Entity Type | Individual |
| Full Name | DR. EDWARD PARK |
| Credential | D.O. |
| Practice Address |
413 Lilly Rd Ne Olympia WA 98506-5133 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3604934083 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OP60694387 | WA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | OP60694387 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851420350 | Edward Sung Joon Park | Pharmacist | 5939 Harry Hines Blvd Ste 845, Dallas, TX 75235-6248 | 2007-03-02 |
| 1982678447 | Edward H Park | Physical Therapist | 10080 N Wolfe Rd, Sw3-100, Cupertino, CA 95014-2515 | 2006-02-13 |
| 1285255570 | Edward Park | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-28 |
| 1033669064 | Edward Park | Pharmacist | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2016-10-14 |
| 1811390461 | Edward Park | Dentist | 793 Centre St, Jamaica Plain, MA 02130-2736 | 2014-09-26 |
| 1245640374 | Edward Park | Anesthesiology | 8901 Wisconsin Ave, Walter Reed National Military Medical Center, Bethesda, MD 20889-0004 | 2014-04-29 |
| 1366795106 | Edward J Park | Urology | 3771 Katella Ave Ste 210, Los Alamitos, CA 90720 | 2012-10-17 |
| 1790977791 | Edward Chul Park | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2007-08-14 |
| 1740368984 | Edward Henry Park | Obstetrics & Gynecology | 800 N Tustin Ave Ste M, Santa Ana, CA 92705-3605 | 2006-11-02 |
| 1447344429 | Edward Hyunjoon Park | Specialist | 1330 San Bernardino Rd, Suite C, Upland, CA 91786-4928 | 2006-10-03 |
| Street Address |
413 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157674 | Michael J Menen | Internal Medicine | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2005-07-12 |
| 1558962209 | Anieska Timms | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-11-07 |
| 1134737653 | Ngoc-van Thi Tran | Speech-Language Pathologist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-07-21 |
| 1780292714 | Paola Von Oelffen | Student in an Organized Health Care Education/Training Program | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-07-15 |
| 1013542885 | Raffy Jatamosa | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-03-11 |
| 1811522766 | Kaman Lindgren | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-03-10 |
| 1497389886 | Phuong Le | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-02-25 |
| 1679107239 | Tamara Eklund | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-02-23 |
| 1598307878 | Alisa Singratanakul | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2019-10-08 |
| 1528615192 | Anh Phuong Ho | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
| 1285108035 | Purcellmdical Pllc | Internal Medicine | 3025 Limited Ln Nw Ste 105, Olympia, WA 98502-2613 | 2019-01-15 |
| 1407261936 | Rebecca March | Internal Medicine | 110 Delphi Rd Nw Ste 101, Olympia, WA 98502-1778 | 2014-06-23 |
| 1730494642 | Fihn Med Group Inc | Internal Medicine | 3701 Pacific Ave Se, Suite 143, Olympia, WA 98501-2124 | 2010-08-16 |
| 1760797674 | Pergam Med Corp | Internal Medicine | 2103 Harrison Ave Nw, Suite 2692, Olympia, WA 98502-2636 | 2010-08-16 |
| 1487969390 | Jd Tauben Corp | Internal Medicine | 3209 Harrison Ave Nw, Suite 181, Olympia, WA 98502-8704 | 2010-08-16 |
| 1912224981 | Jeffery Noel Thompson | Internal Medicine | 626 8th Ave Se, Olympia, WA 98504-0001 | 2010-04-29 |
| 1275863185 | Marc Francis Stern | Internal Medicine | 413 Franklin St Ne, Olympia Union Gospel Mission, Olympia, WA 98501-6946 | 2009-12-28 |
| 1124357652 | Benjamin Medical Pllc | Internal Medicine | 1340 Allegheny Ct Se, Olympia, WA 98503-1905 | 2009-12-11 |
| 1861623548 | Providence Health & Services Wa | Internal Medicine | 1217 Cooper Point Rd Sw, Suite B, Olympia, WA 98502-7206 | 2009-07-29 |
| Find all providers in OLYMPIA | ||||
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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.