CHRIS C PARK (NPI# 1649348087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649348087 |
| Entity Type | Individual |
| Full Name | CHRIS C PARK |
| Other Name | CHUNG H PARK |
| Credential | MD |
| Practice Address |
1039 Haskins Rd Suite A Bowling Green OH 43402-9065 |
| Mailing Address |
745 Haskins Rd Suite B Bowling Green OH 43402-1637 |
| Practice Telephone | 4193521121 |
| Practice Fax Number | 4193521179 |
| Mailing Telephone | 4193537069 |
| Mailing Fax Number | 4193537076 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35.094595 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | D56316 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3004528 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474925 | Chris Park | Respiratory Therapist, Registered | 12025 Copper Mine Ln, El Paso, TX 79934-3416 | 2020-07-22 |
| 1891870481 | Chris Park | Counselor | 777 N 1st St, #444, San Jose, CA 95112-6337 | 2006-10-25 |
| 1750941472 | Chris Park | Dentist | 205 E Wisconsin Ave, Milwaukee, WI 53202-4207 | 2019-06-14 |
| 1174992960 | Chris Kang-il Park | Pharmacist | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2015-09-22 |
| 1013343102 | Chris Junbum Park | Dentist | 1598 Washington Ave, San Leandro, CA 94577-4465 | 2013-09-19 |
| 1144234519 | Chris J Park | Podiatrist | 18895 Colima Rd, Suite A, Rowland Heights, CA 91748-2978 | 2006-07-28 |
| Street Address |
1039 HASKINS RD SUITE A |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-9065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668354 | Josefina P Garcia | Obstetrics & Gynecology | 1039 Haskins Rd, Bowling Green, OH 43402-9065 | 2005-06-09 |
| 1669726584 | Chasady L Freeze | Clinical Nurse Specialist | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2012-10-30 |
| 1992093728 | Michelle Lynn Drain | Nurse Practitioner | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2011-07-14 |
| 1083809461 | Kelly Woodman | Occupational Therapist | 1039 Haskins Rd, Suite L, Bowling Green, OH 43402-9065 | 2007-09-10 |
| 1548311251 | Rene S Ramos | Physician Assistant | 1039 Haskins Rd, Bowling Green, OH 43402-9065 | 2007-01-16 |
| 1053485607 | Bowling Green Clinic, Inc. | Family Medicine | 1039 Haskins Rd, Bowling Green, OH 43402-9065 | 2006-11-17 |
| 1649355199 | The Opti-health Group | Durable Medical Equipment & Medical Supplies | 1039 Haskins Rd, Suite L, Bowling Green, OH 43402-9065 | 2006-10-25 |
| 1578586095 | Edward Joseph Wojciechowski | Family Medicine | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2006-07-25 |
| 1427004837 | Mid American Sports Therapy and Rehabilitation LLC | Specialist | 1039 Haskins Rd, Suite L, Bowling Green, OH 43402-9065 | 2006-05-26 |
| 1184602377 | Nazia Yasmin Sidiq | Family Medicine | 1039 Haskins Rd, Suite A, Bowling Green, OH 43402-9065 | 2006-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| 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 |
|---|---|---|---|---|
| 1295351484 | Commonwealth Health Corporation, Inc | Internal Medicine | 350 Park St Ste 102, Bowling Green, KY 42101-1700 | 2020-06-23 |
| 1639725963 | Paul T Harvey | Internal Medicine | Caroline Detention Facility, 11093 Sw Lewis Memorial Drive, Bowling Green, VA 22427 | 2019-08-13 |
| 1437609104 | Commonwealth Health Corporation, Inc. | Internal Medicine | 1681 Normal Dr, Bowling Green, KY 42101-1041 | 2016-10-06 |
| 1952734451 | Umar Khan Md Pllc | Internal Medicine | 440 High Street, Bowling Green, KY 42101 | 2013-08-20 |
| 1962775767 | Maumee Valley Internist Inc | Internal Medicine | 960 W Wooster St Ste 205, Bowling Green, OH 43402-2650 | 2012-02-10 |
| 1235428574 | Tanya Shoaib | Internal Medicine | 407 Autumnstone Ln, Bowling Green, KY 42103-6004 | 2011-04-06 |
| 1750511051 | Rishi Agarwal | Internal Medicine | 350 Park St Ste 206, Bowling Green, KY 42101-1784 | 2009-07-21 |
| 1073776373 | Sara L Chou | Internal Medicine | 207 Red Cedar Way, Bowling Green, KY 42104-8793 | 2008-07-07 |
| 1912110594 | Michael Brian Humble | Internal Medicine | 2349 Russellville Rd, Bowling Green, KY 42101-3986 | 2007-05-08 |
| 1477571925 | Sam Reddy Kesri | Internal Medicine | 6040 Scottsville Rd, Bowling Green, KY 42104-0388 | 2006-07-17 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on CHRIS C 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.