DR. HEEDONG PARK (NPI# 1518929082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518929082 |
| Entity Type | Individual |
| Full Name | DR. HEEDONG PARK |
| Credential | M.D. |
| Practice Address |
9463 Holly Rd Suite 102 Grand Blanc MI 48439-8351 |
| Practice Telephone | 8105792600 |
| Practice Fax Number | 8105792601 |
| Mailing Telephone | 8105792600 |
| Mailing Fax Number | 8105792601 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | HP031219 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1158145 | 05 |
| Street Address |
9463 HOLLY RD SUITE 102 |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952362030 | General Surgeons of Flint, P.C. | Surgery | 9463 Holly Rd, Suite 102, Grand Blanc, MI 48439-8351 | 2006-03-29 |
| 1427403526 | Elite Ems LLC | Ambulance | 9463 Holly Rd, Ste 104, Grand Blanc, MI 48439-2557 | 2016-04-27 |
| 1972961597 | Jeff Robson | Emergency Medical Technician, Paramedic | 9463 Holly Rd, Suite 104, Grand Blanc, MI 48439-2557 | 2016-02-10 |
| 1568635720 | Christopher F Herzog, D.o., PC | Ophthalmology | 9463 Holly Rd, Ste 101, Grand Blanc, MI 48439-2557 | 2008-04-09 |
| 1558557983 | Synthesis Medical Specialties, P.C. | Internal Medicine | 9463 Holly Rd, Suite 103, Grand Blanc, MI 48439-2557 | 2007-09-19 |
| 1861606972 | J Martin Ulrich Do PC | Otolaryngology | 9463 Holly Rd, Ste 100, Grand Blanc, MI 48439-2557 | 2007-05-09 |
| 1508918046 | Amber Jeanette Hermann | Audiologist | 9463 Holly Rd, Suite 100, Grand Blanc, MI 48439-2557 | 2007-01-17 |
| 1992808430 | Jean L Nelson | Internal Medicine | 9463 Holly Rd, Suite 103, Grand Blanc, MI 48439 | 2006-09-07 |
| 1366554677 | John M Ulrich | Otolaryngology | 9463 Holly Rd, Suite 100, Grand Blanc, MI 48439-2557 | 2006-08-31 |
| 1982712717 | Matthew Jay Weiss | Internal Medicine | 9463 Holly Rd, Suite 103, Grand Blanc, MI 48439 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1841678133 | Alfred Austin | Surgery | 8235 Holly Rd Ste 1, Grand Blanc, MI 48439-2441 | 2015-05-07 |
| 1891081063 | William Earl Macksood | Surgery | 693 Applegate Ln, Grand Blanc, MI 48439-1668 | 2011-06-25 |
| 1689744997 | Veerabrahmam Prathikanti | Surgery | 6373 Kings Pointe Rd, Grand Blanc, MI 48439-8797 | 2006-11-08 |
| 1295751550 | Christopher J Ash | Surgery | 8235 N Holly Rd, Suite 1, Grand Blanc, MI 48439-2441 | 2006-07-13 |
| 1427099886 | Joseph A. Kingsbury, D.o.,pc | Surgery | 1620 Genesys Pkwy, Grand Blanc, MI 48439-2560 | 2006-06-09 |
| 1952362030 | General Surgeons of Flint, P.C. | Surgery | 9463 Holly Rd, Suite 102, Grand Blanc, MI 48439-8351 | 2006-03-29 |
| 1154942415 | Hutton White | Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2020-04-28 |
| 1376102095 | Nicholas James Fitzpatrick | Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2019-06-06 |
| 1891354668 | Jacob Schaub | Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2019-06-06 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on DR. HEEDONG PARK.
| 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.