DR. TAE SHIK PARK (NPI# 1689015562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689015562 |
| Entity Type | Individual |
| Full Name | DR. TAE SHIK PARK |
| Credential | M.D. |
| Practice Address |
1250 E Marshall St Dept. of Im-hospitalist/gen, Med Richmond VA 23298-5051 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8046281215 |
| Practice Fax Number | 8048285566 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2016-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101259642 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1250 E MARSHALL ST DEPT. OF IM-HOSPITALIST/GEN, MED |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436158 | Elizabeth A Huntoon | Physical Medicine & Rehabilitation | 1250 E Marshall St, Physical Medicine and Rehab, Richmond, VA 23298-5051 | 2005-06-08 |
| 1700485943 | Jayme Holmes Kunkel | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-10-20 |
| 1508463068 | Benjamin Brickman Holt | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-10-07 |
| 1780298620 | Tara Lynne Taylor | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-09-08 |
| 1770197956 | Imane Chedid | Emergency Medicine | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-09-03 |
| 1659982338 | Randi Thompson | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-08-14 |
| 1619585684 | Chelsea Elise Snead | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-07-16 |
| 1285258095 | Trevor Harrison Nordin | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-06-08 |
| 1912521972 | Ashton Jordan Engdahl | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-06-04 |
| 1538783048 | Ann Forrest | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
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| 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 |
|---|---|---|---|---|
| 1003421538 | Doctors Who Care Pllc | Internal Medicine | 1601 Main St Ste 309, Richmond, TX 77469-3230 | 2020-09-11 |
| 1093367245 | Maya Susan Varkey | Internal Medicine | 8119 Cheyenne Hills Trl, Richmond, TX 77406-1626 | 2019-07-09 |
| 1780164426 | Kelly Clinic | Internal Medicine | 5503 Fm 359 Rd Ste C, Richmond, TX 77406-7835 | 2018-08-21 |
| 1013411032 | Graham Philip Mcrary | Internal Medicine | Vcuhs Dept of Pm&r, 9860667, 1250 E. Marshall Street, Richmond, VA 23298-0000 | 2018-03-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1801322821 | Adnan Alam Khan | Internal Medicine | 1721 Hanover Ave Unit A, Richmond, VA 23220-3505 | 2017-05-11 |
| 1568900439 | John Edward Tysell Jr. | Internal Medicine | 437 Carlston Street, Richmond, CA 94805 | 2017-02-10 |
| 1457898702 | Michael Ngo D.o. American Board of Internal Medicine Certified Pllc | Internal Medicine | 11130 Drumadoon Dr, Richmond, TX 77407-2036 | 2017-01-25 |
| 1346796091 | Thaer Saqer Mustafa Abdelfattah | Internal Medicine | Vcuhs Dept of Gastroenterology Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-08-31 |
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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.