PAUL PARK (NPI# 1679927206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679927206 |
| Entity Type | Individual |
| Full Name | PAUL PARK |
| Practice Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6122621166 |
| Practice Fax Number | 6122624258 |
| Mailing Telephone | 6122629000 |
| Mailing Fax Number | 6122624259 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 64548 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 Delaware St Se, Mmc 913, Minneapolis, MN 554550341 | 6126240990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1316180037 | Paul Park | Internal Medicine | Box 3951 Or Trent Drive - Dumc, Gme Office, Rm 139-green Zone, Durham, NC 27710 | 2009-04-10 |
| 1083670152 | Paul W. Park | Ophthalmology | 4278 W 3rd St, Los Angeles, CA 90020-3449 | 2006-04-26 |
| 1801434360 | Paul Park IIi | Physical Therapist | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2019-12-16 |
| 1306491261 | Paul J Park | Dentist | 3145 Garden Ave, Building 1278, San Antonio, TX 78234 | 2019-08-07 |
| 1629537964 | Paul Park | Student in an Organized Health Care Education/Training Program | 22 S Greene St # S11c, Baltimore, MD 21201-1544 | 2019-03-17 |
| 1508339094 | Paul Park | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-01-07 |
| 1932616034 | Paul Park | Marriage & Family Therapist | 6301 Beach Blvd Ste 245, Buena Park, CA 90621-4031 | 2018-01-10 |
| 1386195980 | Paul Park | Acupuncturist | 6954 Vaughn Rd, Montgomery, AL 36116-1368 | 2016-10-18 |
| 1265886402 | Paul Park | Student in an Organized Health Care Education/Training Program | 622 W 168th St, Ph 11- 1138, New York, NY 10032-3720 | 2016-04-13 |
| Street Address |
2925 CHICAGO AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164419644 | Elisa M Smith | Clinical Nurse Specialist | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2005-09-30 |
| 1235736836 | Allina Health System | Clinic/Center | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-10-06 |
| 1477166742 | Erin Eileen Moody | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-08-26 |
| 1619587029 | Katie Lynn Erickson | Registered Nurse | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-08-01 |
| 1285264713 | Ryann A Adkins | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-01-23 |
| 1457981037 | Nicole Elaine Kurtzbein | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2020-01-22 |
| 1225698087 | Morgan Hanley | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-06-14 |
| 1336706290 | Seinah D Isaacs | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-05-24 |
| 1245798842 | Megan Pudlik | Social Worker | 2925 Chicago Ave, Minneapolis, MN 55407-1321 | 2019-03-04 |
| 1689143414 | Eric Glen Trembath | Nurse Practitioner | 2925 Chicago Ave, Minneapolis, MN 55407 | 2018-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| 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 |
|---|---|---|---|---|
| 1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
| 1316454077 | Independent Medical Clinic Pa | Internal Medicine | 2639 Nicollet Ave Ste 120, Minneapolis, MN 55408-1629 | 2018-01-03 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1841650306 | Megan Mcgovern | Internal Medicine | 701 Park Ave # O1.340, Minneapolis, MN 55415-1623 | 2016-02-26 |
| 1700266079 | Jacob Wagner | Internal Medicine | D638 Mayo Building, 420 Delaware St Se, Minneapolis, MN 55455 | 2015-06-02 |
| 1659750503 | Melissa Ann Plesac | Internal Medicine | 500 Harvard St Se # 741, Minneapolis, MN 55455 | 2015-05-26 |
| 1033503040 | Elizabeth Stanton Teter Aby | Internal Medicine | 406 Harvard St Se # Mmc36, Minneapolis, MN 55455-0362 | 2015-03-27 |
| 1780002592 | Annie M Jacobsen | Internal Medicine | 701 Park Avenue South--medicine, Hennepin County Medical Center, Minneapolis, MN 55415-1829 | 2014-03-31 |
| 1386066173 | Michael Usher | Internal Medicine | 420 Delaware Street, Se, Mmc 741, Division of General Internal Medicine, Minneapolis, MN 55455 | 2014-01-13 |
| 1356684609 | Anteneh Girma Zewde | Internal Medicine | 87 Orlin Ave Se, Minneapolis, MN 55414-3560 | 2013-04-04 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on PAUL 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.