DR. WALTER GWANG-UP PARK (NPI# 1538355672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538355672 |
| Entity Type | Individual |
| Full Name | DR. WALTER GWANG-UP PARK |
| Credential | M.D. |
| Practice Address |
300 Pasteur Dr # Mc5187 Alway Building, Room M211 Stanford CA 94305-2200 |
| Practice Telephone | 6507238222 |
| Practice Fax Number | 6507235488 |
| Mailing Telephone | 6507238222 |
| Mailing Fax Number | 6507235488 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2009-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A88008 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
300 PASTEUR DR # MC5187 ALWAY BUILDING, ROOM M211 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306014071 | Michael Evan Rothenberg | Internal Medicine | 300 Pasteur Drive, Alway Building M211, Mc5187, Stanford, CA 94305-5187 | 2008-02-15 |
| 1356485460 | Gary M Gray | Internal Medicine | 300 Pasteur Dr, Rm 211, Mc 5187, Stanford University Medical Center, Stanford, CA 94305-5187 | 2007-02-20 |
| 1194729152 | Atulkumar Thakorlal Shah | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2005-06-08 |
| 1144669045 | Sharareh Moraveji | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2013-06-24 |
| 1629310735 | Andres Carlos Gottfried Blackmore | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2013-03-27 |
| 1508123217 | Nanae Takatori | Internal Medicine | 300 Pasteur Dr, Grant S101, Stanford, CA 94305-5109 | 2012-04-19 |
| 1487941928 | Houssam Halawi | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2011-07-05 |
| 1902109796 | Aida Habtezion | Internal Medicine | 300 Pasteur Dr, Alway Bldg, Room M-211, Stanford, CA 94305-5187 | 2010-12-16 |
| 1093031155 | Jennifer Haw Lai | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2010-04-14 |
| 1881843191 | Horace Rhee | Internal Medicine | 300 Pasteur Dr, M211, Stanford, CA 94305-5187 | 2008-09-10 |
| Find all providers in STANFORD | ||||
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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.