DR. RAYMOND D.H. PARK (NPI# 1497744502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497744502 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND D.H. PARK |
| Credential | M.D. |
| Practice Address |
12303 Ne 130th Ln Suite 325 Kirkland WA 98034-3099 |
| Mailing Address |
Po Box 69737 Seattle WA 98168-8737 |
| Practice Telephone | 4258993135 |
| Practice Fax Number | 4258993143 |
| Mailing Telephone | 2064310138 |
| Mailing Fax Number | 2062465819 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2009-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD00035685 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE L&I | 137538 | 01 |
| WA | 8241622 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548521248 | Raymond B Park | Dentist | 3105 Alderwood Mall Blvd Ste 117, Lynnwood, WA 98036-4745 | 2012-05-30 |
| 1174970560 | Raymond Park | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2016-05-16 |
| 1427210434 | Raymond S Park | Anesthesiology | 300 Longwood Ave, Bader 3, Boston, MA 02115-5724 | 2008-06-30 |
| Street Address |
12303 NE 130TH LN SUITE 325 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436687 | Shannon Lee Bailey | Obstetrics & Gynecology | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3099 | 2005-06-13 |
| 1598238966 | Transform Weight Loss LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
| 1720551195 | Peter S. Billing Md LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
| 1043695190 | Amy Bartnikowski | Advanced Practice Midwife | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2015-07-29 |
| 1003290073 | Xuemei Su | Nurse Practitioner | 12303 Ne 130th Ln, Ste400, Kirkland, WA 98034-3099 | 2015-07-19 |
| 1770913055 | Jocelyn Halverson | Nurse Practitioner | 12303 Ne 130th Ln, Ms 26, Kirkland, WA 98034-3099 | 2013-11-22 |
| 1073940219 | Rolin Alan Pruyn | Physician Assistant | 12303 Ne 130th Ln, Suite 550, Kirkland, WA 98034-3099 | 2013-10-02 |
| 1205137213 | Jennifer Anne Hamblett Mohr | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 225, Kirkland, WA 98034-3099 | 2010-11-07 |
| 1447563267 | Lisa Marguerite Arnold | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 500, Kirkland, WA 98034-3099 | 2010-07-21 |
| 1801107271 | Misung Kim | Internal Medicine | 12303 Ne 130th Ln, Suite 250, Kirkland, WA 98034-3099 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205000239 | Douglas Ryan Porter | Psychiatry & Neurology | 227 5th Ave Unit B, Kirkland, WA 98033-6120 | 2008-04-22 |
| 1295767960 | Laura G Goldstein | Psychiatry & Neurology | 12039 Ne 128th St Ste 300, Kirkland, WA 98034-3029 | 2006-07-06 |
| 1073750105 | Daniel J Burdick | Psychiatry & Neurology | 12039 Ne 128th St, Suite 300, Kirkland, WA 98034-3030 | 2009-01-12 |
| 1174710966 | Evergreen Neurology Clinic, Pllc | Psychiatry & Neurology | 12303 Ne 130th Ln, Suite 325, Kirkland, WA 98034-3099 | 2007-09-26 |
| 1619175155 | Marlan D. Kay | Psychiatry & Neurology | 12039 Ne 128th St, Suite 300, Kirkland, WA 98034-3030 | 2007-07-05 |
| 1730251570 | King County Public Hospital District #2 | Psychiatry & Neurology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-11-15 |
| 1407925043 | Virginia I Simnad | Psychiatry & Neurology | 12039 Ne 128th St, 300, Kirkland, WA 98034-3030 | 2006-11-07 |
| 1639254519 | James Y Song | Psychiatry & Neurology | 13107 121st Way Ne, Kirkland, WA 98034-3051 | 2006-10-26 |
| 1790867828 | R. Steven Singer | Psychiatry & Neurology | 13107 121st Way Ne, Kirkland, WA 98034-3051 | 2006-10-19 |
| 1649351347 | Erik R Armitano | Psychiatry & Neurology | 13107 121st Way Ne, Kirkland, WA 98034 | 2006-10-18 |
| Find all providers in KIRKLAND | ||||
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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.