DR. MYUNG S PARK (NPI# 1639389679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639389679 |
| Entity Type | Individual |
| Full Name | DR. MYUNG S PARK |
| Credential | MD |
| Practice Address |
200 1st St Sw Rochester MN 55905 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5072842511 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 51423 | MN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 103986 | MN | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
51423 | MN | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD72226L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205875986 | Myung Hee Park | Internal Medicine | 1802 Yakima Ave Ste 302, Tacoma, WA 98405-5305 | 2006-06-06 |
| 1710342472 | Myung Park | Peer Specialist | 3050 White Plains Road, Bronx, NY 10467 | 2015-12-23 |
| 1134527047 | Myung Park | Dentist | 7770 Sightseeing Rd, Dencom, Fort Benning, GA 31905-3764 | 2014-12-09 |
| 1699031633 | Myung N Park I | Massage Therapist | 5006 Center St, Suite #d, Tacoma, WA 98409-2314 | 2012-04-04 |
| 1831425545 | Myung Kyu Park | Acupuncturist | 4671 Express Dr N, Ronkonkoma, NY 11779-5562 | 2009-10-30 |
| 1093753162 | Myung Park | Pediatrics | 3533 S Alameda St, Corpus Christi, TX 78411-1721 | 2006-06-02 |
| Street Address |
200 1ST ST SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031875 | Christine Maria Miller | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-05-27 |
| 1184225898 | Ellen Renne Larkin | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-08 |
| 1972104180 | Malinda Marie Wilcox | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1720689920 | Tammy Lynn Perttula | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1619578721 | Aaron Anderson | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-04 |
| 1093316598 | Rebecca Lea Parttridge | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
| 1710588173 | Eduardo Gabriel Danduch | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-11-03 |
| 1962002030 | Taylor Jeanne Jamison | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
| 1619577640 | Hayden Taylor Middleton | Student in an Organized Health Care Education/Training Program | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-28 |
| 1295335461 | Vivek Sureshchandran Tharayil | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1720528417 | Erin Hamilton | Social Worker | 200 First St. Sw, Rochester, MN 55905 | 2017-03-01 |
| 1033482872 | Mayo Foundation for Medical Education & Research | Durable Medical Equipment & Medical Supplies | 200 1st St Sw Ste S148, Rochester, MN 55905 | 2012-02-09 |
| 1871829937 | Karen Christine Lundholm | Pharmacist | 1216 2nd Street Sw, Rochester, MN 55905 | 2009-10-26 |
| 1689800260 | Matthew Basiaga | Pediatrics | 200 1st Ave Ne, Rochester, MN 55905 | 2009-06-09 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1639352198 | Jill Marie Hunchis | Nurse Practitioner | 200 First St Sw, Rochester, MN 55905 | 2007-12-07 |
| 1619027265 | Thomas Phillip Moyer | Spec/Tech, Pathology | 200 1st Street Southwest, H-730d, Rochester, MN 55905 | 2007-01-12 |
| 1568544070 | Lisa Ann Schimmenti | Medical Genetics | 200 1st Swst, Rochester, MN 55905 | 2006-10-20 |
| 1558302315 | Robert J Pignolo | Internal Medicine | 200 1st Street Sw, Rochester, MN 55905 | 2006-06-10 |
| Find all providers in zip 55905 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326599713 | Caitlin N Haenig | Surgery | 601 Elmwood Ave, Rochester, NY 14642 | 2016-10-20 |
| 1073705182 | Ayodele Tolulope Sangosanya | Surgery | 601 Elmwood Ave, Box Surg, Rochester, NY 14642-8410 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235482225 | Roy A.m Myers | Surgery | 3907 Sunset Blvd, Minneapolis, MN 55416-4269 | 2012-10-16 |
| 1447883889 | Lorraine Woidylla | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-02-13 |
| 1124670799 | Sarah Wilder | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2019-07-12 |
| 1639684509 | Melanie Smalley | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-12-13 |
| 1073042149 | Lauren A Johnson | Surgery | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2017-06-12 |
| 1518330570 | Colleen Mooney | Surgery | 347 Smith Ave N Ste 203, Saint Paul, MN 55102-2388 | 2015-11-12 |
| 1396035028 | Sydne Muratore | Surgery | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2011-04-14 |
| 1003115783 | Brian S Myer | Surgery | 640 Jackson St # Ms 11502v, Saint Paul, MN 55101-2502 | 2011-03-21 |
| 1437476876 | Sara Elizabeth Wildenberg | Surgery | 6401 France Ave S, Edina, MN 55435-2104 | 2010-04-26 |
| 1760617641 | Uroghupatei Paul Iyegha | Surgery | 420 Delaware St Se, Mayo Mail Code 195, Minneapolis, MN 55455-0341 | 2009-05-21 |
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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.