TED PARK (NPI# 1487626784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487626784 |
| Entity Type | Individual |
| Full Name | TED PARK |
| Credential | MD |
| Practice Address |
920 Church St N Suite 255 Concord NC 28025-2927 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044031331 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 200400395 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Blythe Blvd, Charlotte, NC 282035814 | 7043554475 | |
| 888 Church St N, Concord, NC 280254350 | 7044039177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114293487 | Ted S Park | Hearing Instrument Specialist | 2141 K St Nw Ste 2, Washington, DC 20037-1810 | 2012-03-30 |
| 1871113050 | Ted Park | Student in an Organized Health Care Education/Training Program | 28062 Baxter Rd, Murrieta, CA 92563-1401 | 2020-04-17 |
| Street Address |
920 CHURCH ST N SUITE 255 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647808 | Leanne Smith | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2005-05-30 |
| 1104431014 | Mrunmayee Manohar Shete | Genetic Counselor, MS | 920 Church St N, Concord, NC 28025-2927 | 2020-09-09 |
| 1083232144 | Sarah Elizabeth Garfinkle | Pharmacist | 920 Church St N, Concord, NC 28025-2927 | 2020-07-06 |
| 1184248924 | Dustin Edwards | Physician Assistant | 920 Church St N, Concord, NC 28025-2927 | 2020-06-06 |
| 1396372892 | Zaki Krishan Faraz Dard | Student in an Organized Health Care Education/Training Program | 920 Church St N, Concord, NC 28025-2927 | 2020-03-24 |
| 1477185825 | Tonda Vanderburg Proulx | Nurse Practitioner | 920 Church St N, Concord, NC 28025-2927 | 2020-02-04 |
| 1245870724 | Caroline A. Miller | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2020-01-13 |
| 1316585417 | Adam Beam | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2019-12-19 |
| 1114565496 | Kendal Brianne Mcmakin | Nurse Anesthetist, Certified Registered | 920 Church St N, Concord, NC 28025-2927 | 2019-12-17 |
| 1962053561 | Amanda Huneycutt Helms | Nurse Practitioner | 920 Church St N, Concord, NC 28025-2927 | 2019-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235797564 | Ellacoya Medical Services Pllc | Hospitalist | 254 Pleasant St, Concord, NH 03301-2551 | 2019-06-01 |
| 1437680352 | Jordan Cole | Hospitalist | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2017-03-22 |
| 1225569122 | John Crawley | Hospitalist | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2017-03-22 |
| 1821538232 | Aleksey Tsarevskiy | Hospitalist | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2017-03-03 |
| 1790221299 | Telehealth Solution Pllc | Hospitalist | 80 Church St Ne, Suite D, Concord, NC 28025-4757 | 2017-01-09 |
| 1992150908 | Kendell Prater | Hospitalist | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2016-04-27 |
| 1427464775 | Janaina Trabulci | Hospitalist | 487 Lake Concord Rd Ne, Concord, NC 28025-2934 | 2014-07-08 |
| 1003242751 | Tak Medical Group, P.C. | Hospitalist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2013-09-25 |
| 1235575366 | Joshua Hayes | Hospitalist | 920 Church St N, Suite 255, Concord, NC 28025-2927 | 2013-05-15 |
| 1639411275 | Jenna Brooks | Hospitalist | 920 Church St N, Concord, NC 28025-2927 | 2013-03-21 |
| Find all providers in CONCORD | ||||
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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.