BRIAN J PARK (NPI# 1396969598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396969598 |
| Entity Type | Individual |
| Full Name | BRIAN J PARK |
| Credential | MD |
| Practice Address |
2000 Washington St Green Building -- Suite 668 Newton MA 02462-1650 |
| Practice Telephone | 6176301699 |
| Mailing Telephone | 6176301699 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 239954 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407333990 | Brian Park | Dentist | 5607 Uvalde Rd # G, Houston, TX 77049-4523 | 2018-07-26 |
| 1811014467 | Brian Keith Park | Home Health Aide | 477 White Pond Dr, Apt 421, Akron, OH 44320-1121 | 2007-03-26 |
| 1215027008 | Brian Park | Radiology | Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345, Washington, DC 20370-0001 | 2006-10-13 |
| 1467011775 | Brian Park | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2019-06-10 |
| 1598225070 | Brian Sooman Park | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-6082 | 2019-03-21 |
| 1417451170 | Brian H Park | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2018-03-19 |
| 1144757162 | Brian Park | Neurological Surgery | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2017-05-22 |
| 1942737697 | Brian Park | Student in an Organized Health Care Education/Training Program | 833 Chestnut Street, Suite 220, Philadelphia, PA 19107-4405 | 2017-05-12 |
| 1710418744 | Brian Lim Park | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029 | 2017-03-22 |
| 1497203947 | Brian Park | Dentist | 11727 Whittier Blvd, Whittier, CA 90601-3939 | 2016-09-13 |
| Street Address |
2000 WASHINGTON ST GREEN BUILDING -- SUITE 668 |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952284 | Mitchell Abramson | Internal Medicine | 2000 Washington St, Suite 104, Blue Building, Newton, MA 02462-1650 | 2005-06-16 |
| 1023668209 | Christopher David Caissie | Physician Assistant | 2000 Washington St, Newton, MA 02462-1650 | 2019-09-18 |
| 1760905699 | Jacquelyn Kate Harrow | Internal Medicine | 2000 Washington St, Newton, MA 02462-1650 | 2017-07-23 |
| 1922531615 | Elizabeth Brooks | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-04-10 |
| 1801327648 | Kevin Patrick Mcdonnell | Physician Assistant | 2000 Washington St, Suite Wh/441, Newton, MA 02462-1650 | 2017-03-23 |
| 1750733382 | Jeffrey Mark Lingenfelter | Physician Assistant | 2000 Washington St, Suite 341 White Building, Newton, MA 02462-1650 | 2016-07-07 |
| 1538520713 | Johanna Geoghegan | Physician Assistant | 2000 Washington St, Blue 201, Newton, MA 02462-1650 | 2016-03-15 |
| 1689047193 | Saltzman Urological Associates | Pathology | 2000 Washington St, 660 Green, Newton, MA 02462-1650 | 2015-11-05 |
| 1225424591 | Cassandra Tang | Physician Assistant | 2000 Washington St, Suite 341, Newton, MA 02462-1650 | 2015-04-13 |
| 1346647815 | Berenice Vallette | Physician Assistant | 2000 Washington St, White Building Suite 341, Newton, MA 02462-1650 | 2014-11-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
| Find all providers in zip 02462 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932161577 | Jeffrey H. Spiegel | Otolaryngology | 335 Boylston St, Front, Newton, MA 02459 | 2006-04-06 |
| 1952390197 | Samir M Bhatt | Otolaryngology | 2000 Washington St Ste 668, Newton, MA 02462-1628 | 2005-10-20 |
| 1992141808 | Michael Otremba | Otolaryngology | 2000 Washington St Ste 668, Newton, MA 02462 | 2013-05-18 |
| 1407292873 | Xue Zhao | Otolaryngology | 2000 Washington St Ste 668, Newton, MA 02462-1628 | 2013-05-13 |
| 1013279108 | New England Ear Nose and Throat LLC | Otolaryngology | 2000 Washington St, Suite 544 White Building, Newton, MA 02462-1650 | 2012-06-13 |
| 1811162530 | Avner Aliphas | Otolaryngology | 2000 Washington St, White Bldg, Suite 544, Newton, MA 02462-1650 | 2008-04-23 |
| 1275502114 | Warren L. Galeos | Otolaryngology | 135 Newton Sparta Rd, Newton, NJ 07860-2795 | 2006-03-14 |
| 1760473862 | Victor E. Calcaterra | Otolaryngology | 2000 Washington St, Suite 668, Newton, MA 02462-1650 | 2005-10-31 |
| 1669463782 | Mark F. Rounds | Otolaryngology | 2000 Washington St, Suite 668, Newton, MA 02462-1650 | 2005-10-31 |
| 1538150552 | Kathryn A. Ryan | Otolaryngology | 2000 Washington St, Suite 668, Newton, MA 02462-1650 | 2005-10-31 |
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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.