THOMAS PARK (NPI# 1619359288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619359288 |
| Entity Type | Individual |
| Full Name | THOMAS PARK |
| Credential | M.D. |
| Practice Address |
1600 Sw Archer Rd # 100277 Gainesville FL 32610 |
| Mailing Address |
1600 Sw Archer Rd # 100277 Gainesville FL 32610-3003 |
| Practice Telephone | 3143625000 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2018-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME136283 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2015019699 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100000300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063619419 | Thomas Park | Dentist | 134 New Haven Rd, Seymour, CT 06483-3908 | 2007-06-29 |
| 1790055358 | Thomas Park | Counselor | 627 Ne Evans St, Mcminnville, OR 97128-3923 | 2012-01-12 |
| 1669756045 | Thomas Park | Pharmacist | 1260 Liberty Rd, Eldersburg, MD 21784-7928 | 2011-10-04 |
| 1174843163 | Thomas Park | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2010-06-02 |
| 1629169412 | Thomas T Park | Psychiatry & Neurology | 4160 John R St, 916, Detroit, MI 48201-2020 | 2006-09-27 |
| 1609976547 | Thomas Chin Park | Surgery | 2725 Capitol Ave, Suite 402, Sacramento, CA 95816-6004 | 2006-09-22 |
| 1609835198 | Thomas Park | Internal Medicine | 601 Elmwood Ave, Box 646, Rochester, NY 14642-0001 | 2006-03-22 |
| 1194707562 | Thomas S Park | Pharmacist | 23357 Pacific Coast Hwy, Malibu, CA 90265-4957 | 2005-11-18 |
| 1952304792 | Thomas M Park | Orthopaedic Surgery | 3334 Capital Medical Blvd, Ste. 400, Tallahassee, FL 32308-8405 | 2005-05-24 |
| Street Address |
1600 SW ARCHER RD # 100277 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093076143 | Riley Glynn Jones | Internal Medicine | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610 | 2012-06-05 |
| 1316483563 | Brittney Leshea Castro | Nurse Practitioner | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610 | 2017-01-12 |
| 1487072211 | Lauryn Ann Benninger | Internal Medicine | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610-2364 | 2014-03-29 |
| 1134560295 | Vidhu Kariyawasam | Internal Medicine | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610 | 2013-07-17 |
| 1962843706 | Lyda Cuervo Pardo | Internal Medicine | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610 | 2013-07-09 |
| 1518305036 | Dawn Mueni Becker | Internal Medicine | 1600 Sw Archer Rd # 100277, Gainesville, FL 32610-3003 | 2013-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1669990883 | Syah, LLC | Internal Medicine | 1080 Dawsonville Hwy Ste B, Gainesville, GA 30501-2621 | 2017-09-08 |
| 1851826374 | Atlantis Dawn Russ | Internal Medicine | 1600 Sw Archer Rd Rm M401, Gainesville, FL 32610-0001 | 2017-04-21 |
| 1922545433 | Semiramis Carbajal Mamani | Internal Medicine | 9344 Sw 32nd Pl, Gainesville, FL 32608-8630 | 2017-01-22 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1649631649 | V Care Internal Medicine Pa | Internal Medicine | 8901 Sw 67th Pl, Gainesville, FL 32608-9223 | 2016-03-18 |
| 1790164408 | Cecil Angad Ramkissoon Rambarat | Internal Medicine | Internal Medicine Residency Dept of Medicine, 1600 Sw Archer Road, Shands Hospital, Room 4102, Gainesville, FL 32610-0001 | 2015-05-27 |
| 1235525643 | Katie Veron Taylor | Internal Medicine | 1600 Sw Archer Rd Rm D2-39, Gainesville, FL 32610-3003 | 2015-04-13 |
| 1639584964 | Jaymin G Patel | Internal Medicine | 1600 Sw Archer Rd # 100238, Gainesville, FL 32610-0238 | 2014-06-25 |
| 1629497243 | Leigh Cagino | Internal Medicine | Po Box 100277, Gainesville, FL 32610-3003 | 2014-04-10 |
| 1487083721 | Lalitkumar Jaykrishan Mundhra | Internal Medicine | 3800 Sw 34th St, Apt Y244, Gainesville, FL 32608-6562 | 2013-11-07 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
Please comment or provide details below to improve the information on THOMAS 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.