KEN JONGHO PARK (NPI# 1649436585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649436585 |
Entity Type | Individual |
Full Name | KEN JONGHO PARK |
Credential | M.D. |
Practice Address |
2400 Lancaster Dr Ne Salem OR 97305-1221 |
Practice Telephone | 5033615400 |
Mailing Telephone | 5033615400 |
Enumeration Date | 2008-07-30 |
Last Update Date | 2015-08-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD60140050 | WA | Allopathic & Osteopathic Physicians |
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD150901 | OR | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316980295 | Ken Park | Internal Medicine | 8994 Tour Dr Ste 210, Mckinney, TX 75070-2036 | 2006-06-14 |
1245214402 | Ken H. Park | Internal Medicine | 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677-4813 | 2005-12-01 |
Street Address |
2400 LANCASTER DR NE |
City | SALEM |
State | OR |
Zip Code | 97305-1221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801834510 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2006-06-03 |
1629608070 | Lisa Renea Carr | Dental Assistant | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2020-01-23 |
1316594989 | Marisa Hopkins | Social Worker | 2400 Lancaster Dr Ne, Salem, OR 97305-1297 | 2019-08-19 |
1346715836 | Stephen Kuang | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1297 | 2018-10-10 |
1679003313 | Christina Nguyen | Optometrist | 2400 Lancaster Dr Ne, Salem, OR 97305 | 2017-06-15 |
1114479128 | Jocelyn Gran | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97317 | 2016-10-26 |
1518419464 | Kaiser Foundation Health Plan of The Northwest | General Practice | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-10-26 |
1083166029 | Alison J Green | Nurse Practitioner | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-10-25 |
1588119515 | Eloisa Chaudhary | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-08-19 |
1598117269 | Nathan Howell | Pharmacist | 2400 Lancaster Dr Ne, Salem, OR 97305-1221 | 2016-07-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
Find all providers in zip 97305 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1396378717 | Northwest Renal Clinic, Inc. | Internal Medicine | 925 Commercial St Se Ste 110, Salem, OR 97302-4172 | 2020-02-13 |
1982662052 | Parkland Physician Services Inc | Internal Medicine | 18 Pelham Rd, Salem, NH 03079-4818 | 2006-05-01 |
1992794515 | Ana Stankovic | Internal Medicine | 31 Stiles Rd Ste 2400, Salem, NH 03079 | 2005-10-17 |
1649279035 | Denis Privalov | Internal Medicine | 875 Oak St Se Ste 5070, Salem, OR 97301-3998 | 2005-07-18 |
1326400656 | Center for Kidney and Metabolic Disorders Pllc | Internal Medicine | 31 Stiles Rd Ste 2400, Salem, NH 03079 | 2016-03-25 |
1285885160 | Hima Bindu Yalamanchili | Internal Medicine | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2008-10-09 |
1710164587 | Andrea R Moore | Internal Medicine | 875 Oak St Se Ste 5070, Salem, OR 97301-3998 | 2008-01-23 |
1568668929 | Yekaterina Gincherman | Internal Medicine | 875 Oak St Se, Suite 5070, Salem, OR 97301-3975 | 2007-06-22 |
1467672261 | Kidney Care Physicians LLC | Internal Medicine | 875 Oak St Se Ste 5070, Salem, OR 97301-3975 | 2007-04-26 |
1902022817 | Lance M Dicker | Internal Medicine | 875 Oak St Se, Ste 5070, Salem, OR 97301-3975 | 2007-04-18 |
Find all providers in SALEM |
Please comment or provide details below to improve the information on KEN JONGHO 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.