STEPHANIE PARK (NPI# 1497838387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497838387 |
| Entity Type | Individual |
| Full Name | STEPHANIE PARK |
| Other Name | STEPHANIE PARK ZWICKER |
| Credential | M.D. |
| Practice Address |
1585 Woodlake Dr Suite 201 Chesterfield MO 63017-5740 |
| Mailing Address |
6624 Waterman Ave Saint Louis MO 63130-4659 |
| Practice Telephone | 3148782788 |
| Practice Fax Number | 3148788988 |
| Mailing Telephone | 3148633532 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 2005005835 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871155697 | Stephanie Park | Occupational Therapist | 75 Windward Way, Buena Park, CA 90621-1683 | 2019-07-02 |
| 1649448333 | Stephanie Yunsun Park | Optometrist | 28 W 32nd St, New York, NY 10001-3821 | 2008-02-14 |
| 1508387812 | Stephanie M Park | Nurse Practitioner | 1500 E Medical Center Dr, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 | 2017-06-28 |
| 1225490105 | Stephanie Grace Park | Psychologist | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2931 | 2016-03-22 |
| 1750621793 | Stephanie Rae Park | Nurse Practitioner | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2013-02-28 |
| Street Address |
1585 WOODLAKE DR SUITE 201 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-5740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281870 | Thomas F Hastings | Internal Medicine | 1585 Woodlake Dr, Suite 100, Chesterfield, MO 63017-5740 | 2005-10-31 |
| 1518418516 | Ahcmo 1 LLC | Clinic/Center | 1585 Woodlake Dr, 104, Chesterfield, MO 63017-5740 | 2016-10-14 |
| 1093260176 | Woodlake Podiatry, LLC | Podiatrist | 1585 Woodlake Dr, 200, Chesterfield, MO 63017-5740 | 2016-08-18 |
| 1982069233 | Woodlake Podiatry | Podiatrist | 1585 Woodlake Dr, 200, Chesterfield, MO 63017-5740 | 2015-12-30 |
| 1396161840 | St. Louis Eye Institute, PC | Ophthalmology | 1585 Woodlake Dr, Suite 106, Chesterfield, MO 63017-5740 | 2014-03-07 |
| 1750728366 | Inna Rakhmanova | Physical Therapist | 1585 Woodlake Dr, Suite 214, Chesterfield, MO 63017-5740 | 2013-05-23 |
| 1942646609 | Danielle Nichole Engle | Chiropractor | 1585 Woodlake Dr, Chesterfield, MO 63017-5740 | 2013-05-21 |
| 1023396256 | Elizabeth Anne Johnson | Physical Therapist | 1585 Woodlake Dr, Suite 214, Chesterfield, MO 63017-5740 | 2011-07-21 |
| 1740416650 | Alysia Shirell Brown | Nurse Practitioner | 1585 Woodlake Dr, Ste 104, Chesterfield, MO 63017-5740 | 2009-06-05 |
| 1265696777 | Leland Jaffe | Podiatrist | 1585 Woodlake Dr, Suite 200, Chesterfield, MO 63017-5740 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748909 | Jacqueline Levy Reiss | Allergy & Immunology | 1570 Woodlake Dr, Chesterfield, MO 63017-5712 | 2005-08-30 |
| 1619972486 | Pamela A Georgeson | Allergy & Immunology | 30170 23 Mile Rd, Chesterfield, MI 48047-2190 | 2005-06-16 |
| 1043612302 | St. Luke's Physicians/hospital Organization of St. Louis, Inc. | Allergy & Immunology | 232 S Woods Mill Rd, Attn: Rick Sonne, Chesterfield, MO 63017-3417 | 2014-09-18 |
| 1790974004 | Allergy & Asthma Care of St. Louis | Allergy & Immunology | 1585 Woodlake Dr, Suite 201, Chesterfield, MO 63017-5740 | 2007-10-23 |
| 1326191537 | Allergy Associates, Inc | Allergy & Immunology | 1570 Woodlake Dr, Chesterfield, MO 63017-5712 | 2007-01-19 |
| 1396798054 | Medical Specialists of St Lukes LLC | Allergy & Immunology | 222 S Woods Mill Rd, Ste 750n, Chesterfield, MO 63017 | 2006-05-17 |
| 1649263146 | Rand E Dankner | Allergy & Immunology | 1570 Woodlake Dr, Chesterfield, MO 63017-5712 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770921835 | Maggie Murfin Barnthouse | Allergy & Immunology | 3101 Broadway Blvd., Allergy/immunology, Kansas City, MO 64111 | 2013-06-11 |
| 1730483140 | Burton Creek Weight Loss Solutions, LLC | Allergy & Immunology | 709 N Kentucky Ave, West Plains, MO 65775-2085 | 2010-12-28 |
| 1720308448 | Sonia Cajigal | Allergy & Immunology | 711 Old Ballas Road Suite 100, St. Louis, MO 63141 | 2010-06-03 |
| 1730377318 | Westbury Allergy, P.C. | Allergy & Immunology | 12 Westbury Dr, Saint Charles, MO 63301-2543 | 2007-10-09 |
| 1285822767 | Nancy Ann Williams | Allergy & Immunology | 125 E Brooks St, Brookfield, MO 64628-1727 | 2007-10-09 |
| 1083810808 | Ritu Gupta | Allergy & Immunology | Washington University, Allergy Dept., Campus Box 8122, 660 S. Euclid Ave., St. Louis, MO 63110 | 2007-06-27 |
| 1124235239 | Jeremy Shawn Katcher | Allergy & Immunology | 12818 Tesson Ferry Rd Ste 205, Saint Louis, MO 63128-2945 | 2007-05-17 |
| 1720113053 | John D Marcum | Allergy & Immunology | 1020 St Clair Plaza, St Clair, MO 63077 | 2007-02-23 |
| 1619023330 | Allergy & Asthma Consultants of The Ozarks Ltd. | Allergy & Immunology | 407 A. East Russell Ave., Suite 3, Warrensburg, MO 64093 | 2007-01-26 |
| 1902909559 | Hutchinson Clinic Inc | Allergy & Immunology | 624 W Lockling Ave, Brookfield, MO 64628 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.