THOMAS T PARK


Address: 4160 John R St, 916, Detroit, MI 48201-2020
Phone: 3138320011

THOMAS T PARK (NPI# 1629169412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629169412
Entity Type Individual
Full Name THOMAS T PARK
Credential M.D
Practice Address 4160 John R St
916
Detroit
MI 48201-2020
Practice Telephone 3138320011
Practice Fax Number 3138327609
Mailing Telephone 3138320011
Mailing Fax Number 3138327609
Enumeration Date 2006-09-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084A0401X Psychiatry & Neurology
Specialization: Addiction Medicine
040933 MI Allopathic & Osteopathic Physicians

Other Providers THOMAS PARK

NPI Name Taxonomy Address Enumeration
1063619419 Thomas Park Dentist 134 New Haven Rd, Seymour, CT 06483-3908 2007-06-29
1619359288 Thomas Park Internal Medicine 1600 Sw Archer Rd # 100277, Gainesville, FL 32610 2015-06-19
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
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

Office Location

Street Address 4160 JOHN R ST
916
City DETROIT
State MI
Zip Code 48201-2020

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508864240 Uma D Gorrepati Internal Medicine 4160 John R St, Suite 730, Detroit, MI 48201-2020 2005-07-07
1306466826 Joseph Trak Student in an Organized Health Care Education/Training Program 4160 John R St, Suite 615, Detroit, MI 48201 2020-04-24
1437717097 Fauzia Zubair Arain Student in an Organized Health Care Education/Training Program 4160 John R St, Detroit, MI 48201-2020 2019-05-30
1821520495 Yang Liu Student in an Organized Health Care Education/Training Program 4160 John R St, Suite 615, Detroit, MI 48201-2020 2017-04-01
1053859256 Karin Calviti Audiologist 4160 John R St, Detroit, MI 48201-2020 2017-02-07
1932551348 Ayman Abulawi Student in an Organized Health Care Education/Training Program 4160 John R St, Suite 510, Detroit, MI 48201-2020 2016-07-09
1407204027 Amir Laktineh Student in an Organized Health Care Education/Training Program 4160 John R St, 510, Detroit, MI 48201-2020 2016-05-25
1801243548 Mohannad Alhasani Internal Medicine 4160 John R St, Suite 510, Detroit, MI 48201-2020 2016-05-23
1073976353 Catherine Peterson Student in an Organized Health Care Education/Training Program 4160 John R St, Suite 930, Detroit, MI 48201-2020 2016-04-03
1598128902 Aubrey Brian Allen Student in an Organized Health Care Education/Training Program 4160 John R St, 1021, Detroit, MI 48201-2020 2016-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 2084A0401X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Addiction Medicine

Taxonomy Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780692590 Vijayalakshmi A Kololgi Psychiatry & Neurology 4646 John R St, Detroit, MI 48201 2006-08-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740821339 Farrah Laviolette Psychiatry & Neurology 9178 Highland Rd Ste A, White Lake, MI 48386-4619 2019-10-04
1427563089 Mlrc A Medical Group PC Psychiatry & Neurology 26803 Ryan Rd, Warren, MI 48091-4075 2017-12-05
1528180841 Michael Notorangelo Psychiatry & Neurology 229 E 3rd St, Harbor Springs, MI 49740 2007-04-06
1629120282 Sanjeev Shanmuga Venkataraman Psychiatry & Neurology 4111 Andover Rd, Suite 220, Bloomfield Hills, MI 48302-1909 2007-01-16
1538190541 Sunil Ramchand Rangwani Psychiatry & Neurology 317 E Warwick Dr, Suite B, Alma, MI 48801-1085 2006-07-06
1376500090 Michael Fulton Brooks Psychiatry & Neurology 12851 East Grand River, Brighton Hospital, Brighton, MI 48116 2006-04-27
1508154626 Lewei Lin Psychiatry & Neurology 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2011-07-11
1689907966 Center for Behavioral Medicine Pllc Psychiatry & Neurology 700 S Main St, Suite 210, Lapeer, MI 48446-3077 2009-09-17
1174771083 Alan Robert Teo Psychiatry & Neurology 4250 Plymouth Rd, Ann Arbor, MI 48109-2700 2008-09-04
1437318771 Avinash Hosanagar Psychiatry & Neurology 2215 Fuller Rd, Ann Arbor, MI 48105-2303 2008-06-02
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Competitor

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City DETROIT
Zip Code 48201

Improve Information

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Dataset Information

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.

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