JEAN PARK (NPI# 1508229832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508229832 |
| Entity Type | Individual |
| Full Name | JEAN PARK |
| Practice Address |
1365b Clifton Rd Ne Atlanta GA 30322-1013 |
| Practice Telephone | 4047856000 |
| Mailing Telephone | 4047856000 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0009X |
Ophthalmology Specialization: Glaucoma Specialist |
84894 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176228 | Jean Park | Occupational Therapist | 1000 Claremont Rd, Carlisle, PA 17013-7310 | 2018-12-27 |
| 1205098183 | Jean Park | Obstetrics & Gynecology | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2008-07-01 |
| 1306048087 | Jean Young Park | Internal Medicine | 664 Stoneleigh Ave, Ste. 300, Carmel, NY 10512-3940 | 2007-06-04 |
| 1861512592 | Jean Young Park | Internal Medicine | 5601 Loch Raven Blvd, Russell Morgan Bldg., 3rd Floor, Baltimore, MD 21239-2905 | 2007-03-29 |
| 1437293461 | Jean Kim Park | Counselor | 111 N La Brea Ave, Suite 700, Inglewood, CA 90301-1752 | 2007-02-15 |
| Street Address |
1365B CLIFTON RD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235114547 | Beau Benjamin Bruce | Psychiatry & Neurology | 1365b Clifton Rd Ne, Suite B-3600, Atlanta, GA 30322-1013 | 2005-12-08 |
| 1235652918 | Jonathan Micieli | Ophthalmology | 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | 2017-07-25 |
| 1669902094 | Drake Robert Devos | Optometrist | 1365b Clifton Rd Ne, Atlanta, GA 30322 | 2017-06-18 |
| 1891227286 | Christian Mustroph | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Room B6169c, Atlanta, GA 30322-3400 | 2017-04-03 |
| 1295189165 | Hosniya Zarabi | General Practice | 1365b Clifton Rd Ne, Room B6169c, Atlanta, GA 30322-1013 | 2016-04-18 |
| 1568825735 | Kc Biebighauser Bens | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Suite 1400, Atlanta, GA 30322-1013 | 2016-04-04 |
| 1649667866 | Andrew Erwood | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Room B6169c, Atlanta, GA 30322-1013 | 2015-04-26 |
| 1346669827 | Jason Michael Frerich | Neurological Surgery | 1365b Clifton Rd Ne, Suite 6200, Atlanta, GA 30322-1013 | 2014-04-10 |
| 1144664673 | Charles Adam Lorentz | Urology | 1365b Clifton Rd Ne, Atlanta, GA 30322 | 2013-04-26 |
| 1205179439 | Jeremy S. Wetzel | Student in an Organized Health Care Education/Training Program | 1365b Clifton Rd Ne, Suite 6200, Atlanta, GA 30322-1059 | 2013-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 207WX0009X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Glaucoma Specialist |
| An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [1/1/2017: new] Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124519954 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 1000 Towne Center Blvd Ste 806, Pooler, GA 31322-4070 | 2018-05-29 |
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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.