MR. KYUNG SOON PARK (NPI# 1568454049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568454049 |
| Entity Type | Individual |
| Full Name | MR. KYUNG SOON PARK |
| Credential | MD |
| Practice Address |
575 Coal Valley Road Suite 504 Clairton PA 15025-3729 |
| Practice Telephone | 4124697900 |
| Practice Fax Number | 4124697919 |
| Mailing Telephone | 4124697900 |
| Mailing Fax Number | 4124697919 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD067920L | PA | Other Service Providers |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD-067920-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017467910002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215321070 | Kyung Hyun Park | Pharmacist | Loma Linda University School of Pharmacy, Shryock Hall, Loma Linda, CA 92350-0001 | 2015-03-19 |
| 1871704916 | Kyung Sook Park | Acupuncturist | 4706 Nathan Hale Dr Apt 304, Annandale, VA 22003-4985 | 2007-05-24 |
| 1669518676 | Kyung Wook Park | Dentist | 44031 Pipeline Plz, Suite 215, Ashburn, VA 20147-5887 | 2007-01-29 |
| 1649287152 | Kyung Sook Park | Specialist | 3484 Stevens Creek Blvd, Suite D, San Jose, CA 95117-1000 | 2006-08-01 |
| 1255996864 | Kyung Joong Park | Naturopath | 530 S 336th St, Federal Way, WA 98003-6383 | 2019-05-08 |
| 1194083154 | Kyung Park | Pathology | 272 Main St, 2f, Stamford, CT 06901 | 2012-04-27 |
| 1013283613 | Kyung Mook Park | Dentist | 1034 N Willis St, Abilene, TX 79603-4622 | 2012-03-28 |
| 1770688269 | Kyung Won Park | Anesthesiology | 1320 West Main Street, Newark, OH 43055 | 2006-09-13 |
| 1942210570 | Kyung I. Park | Psychiatry & Neurology | 12362 Beach Blvd, #10, Stanton, CA 90680-3935 | 2006-08-08 |
| 1114951522 | Kyung Sun Park | Obstetrics & Gynecology | 100 Stevens Ave, 7th Floor, Mount Vernon, NY 10550-2600 | 2006-07-10 |
| Street Address |
575 COAL VALLEY ROAD SUITE 504 |
| City | CLAIRTON |
| State | PA |
| Zip Code | 15025-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477961621 | Amanda Shafton | Advanced Practice Midwife | 575 Coal Valley Road, Suite 209, Clairton, PA 15025-3770 | 2014-07-31 |
| 1912213802 | Faith Ann Mcgrady | Physician Assistant | 575 Coal Valley Road, Suite 374, Clairton, PA 15025-3739 | 2010-08-30 |
| 1679584379 | Krishnan Gopal Md | Specialist | 575 Coal Valley Road, Suite 301, Clairton, PA 15025 | 2006-08-10 |
| 1952312399 | Zitelli & Brodland PC | Clinic/Center | 575 Coal Valley Road, Suite 360, Clairton, PA 15025 | 2006-08-10 |
| 1700804572 | Jefferson Internal Medicine PC | Internal Medicine | 575 Coal Valley Road, Suite 374, Clairton, PA 15025 | 2006-07-18 |
| 1861410722 | Paula S Popp | Psychologist | 575 Coal Valley Road, Suite 303, Clairton, PA 15025 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407362148 | Mary Katherine Bearer | Dental Hygienist | 1925 Route 51 South, Jefferson Hills, PA 15025 | 2017-12-18 |
| 1508171802 | Leanne Kinzler | Dietitian, Registered | 1208 Oakwood Drive, Jeffeson Hills, PA 15025 | 2010-08-11 |
| 1750457214 | Borough of Jefferson Ambulance Association Inc | Ambulance | 2121 Century Drive, Jefferson Hills, PA 15025 | 2006-11-28 |
| 1851480644 | Nancy Katherine Ritenour | Registered Nurse | 559 Miller Ave, Magee At Clairton, Clairton, PA 15025 | 2006-10-12 |
| 1861440315 | Jethalal L Rambhia | Internal Medicine | 1200 Brooks Ln Ste 270, Jefferson Hills, PA 15025 | 2006-05-05 |
| 1134197130 | Jefferson/upmc Cancer Associates | Radiology | 565 Coal Valley Road, Pittsburgh, PA 15025 | 2006-03-08 |
| 1518932961 | Theodore R Paladino | Dentist | 25 Gill Hall Road, Jefferson Hills, PA 15025 | 2006-02-21 |
| 1093789422 | Tegendra Singh Wallia | Internal Medicine | 612 Miller Ave, Clairton, PA 15025 | 2006-02-14 |
| 1902336423 | Kylie Zeiler | Registered Nurse | 565 Coal Valley Rd, Jefferson Hills, PA 15025 | 2017-06-18 |
| 1316324007 | Steven Alsobrook | Internal Medicine | 565 Coal Valley Rd, Jefferson Hills, PA 15025 | 2015-05-01 |
| Find all providers in zip 15025 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386877801 | Specialty Group Practice 1, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 575 Coal Valley Rd, Suite 365, Clairton, PA 15025-3730 | 2009-09-01 |
| 1275526477 | Chong S Park | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 575 Coal Valley Rd, Ste 504, Clairton, PA 15025-3730 | 2005-08-24 |
| 1922003094 | Chet Phitayakorn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 575 Coal Valley Rd, Ste 365, Clairton, PA 15025-3739 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707847 | West Virginia Univesity Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1163 Country Club Rd Ste 106, Monongahela, PA 15063-1013 | 2020-04-01 |
| 1861959884 | Pedro Augusto Reck Dos Santos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St # C900, Pittsburgh, PA 15213-2536 | 2019-02-26 |
| 1023582418 | Luciana Da Fonseca Da Silva | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4401 Penn Ave Fl 5, Pittsburgh, PA 15224-1334 | 2019-01-18 |
| 1962980730 | Wellspan Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 40 V Twin Dr Ste 102, Gettysburg, PA 17325-7878 | 2018-08-02 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1528443041 | Michael Ibrahim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3701 Chestnut St Apt 410, Philadelphia, PA 19104-3104 | 2015-07-27 |
| 1710386420 | Ferdinand Christian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1224 Turnbury Ln, North Wales, PA 19454-3657 | 2014-08-19 |
| 1245668128 | Jacob Kolff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 Bryn Llawn Road, Villanova, PA 19085 | 2013-10-31 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| 1215279112 | Jeffrey M Dunn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 W. Washington Sq, #1207, Philadelphia, PA 19106 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
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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.