DR. CHAN H PARK (NPI# 1700147378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700147378 |
| Entity Type | Individual |
| Full Name | DR. CHAN H PARK |
| Other Name | DR. CHAN H PARK |
| Credential | M.D. |
| Practice Address |
22226 Cliff Ave S #304 Des Moines WA 98198-4619 |
| Practice Telephone | 2539469365 |
| Practice Fax Number | 2539469365 |
| Mailing Telephone | 2539469365 |
| Mailing Fax Number | 2539469365 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 28108 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828963 | Chan Ho Park | Physician Assistant | 4721 Oakwood Ave, Los Angeles, CA 90004-3112 | 2020-10-14 |
| 1508404492 | Chan Jin Park | Acupuncturist | 21537 48th Ave Apt 2b, Bayside, NY 11364-1359 | 2019-12-11 |
| 1760644280 | Chan Woo Park | Otolaryngology | 90 Bergen Street- Suite 8100, Department of Otolaryngology, Doc Building, Newark, NJ 07103 | 2008-06-26 |
| 1700092103 | Chan Hoon Park | Family Medicine | 905 Victory Hwy, Slatersville, RI 02876 | 2007-05-15 |
| 1871617027 | Chan M Park | Dentist | 111 Deerwood Rd Ste 130, San Ramon, CA 94583-2194 | 2007-03-16 |
| 1457467037 | Chan M Park | Family Medicine | 6460 Greensboro Rd, Ridgeway, VA 24148-3478 | 2006-08-23 |
| 1619940681 | Chan S. Park | Emergency Medicine | Michumi, Pllc Dba Med Express of Williamsburg, Va, 120 Monticello Ave, Williamsburg, VA 23185 | 2006-02-09 |
| 1255336665 | Chan H. Park | Family Medicine | 9500 Stockdale Hwy, Suite 203, Bakersfield, CA 93311-3620 | 2005-06-14 |
| 1366071045 | Chan Young Park | Student in an Organized Health Care Education/Training Program | 11301 Wilshire Blvd Bldg 500, Los Angeles, CA 90073-1003 | 2020-04-05 |
| 1932498722 | Chan Jerome Park | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 600 Highland Ave, Madison, WI 53792-0001 | 2011-03-31 |
| Street Address |
22226 CLIFF AVE S #304 |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-4619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| Find all providers in zip 98198 | ||||
| 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 |
|---|---|---|---|---|
| 1588226104 | Laura Sue Kersey | Internal Medicine | 1212 Pleasant St Ste 110, Des Moines, IA 50309-1410 | 2019-07-03 |
| 1669948568 | Parabolic Health Pllc | Internal Medicine | 19809 8th Ave S, Des Moines, WA 98148-2246 | 2018-10-17 |
| 1245764752 | Joel Fuchs | Internal Medicine | 3600 30th St # 451, Des Moines, IA 50310-5753 | 2017-04-12 |
| 1780066746 | Ashley Priaulx | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2015-06-25 |
| 1306238605 | Greggory Stan Flint | Internal Medicine | 1215 Pleasant St Ste 400, Des Moines, IA 50309-1418 | 2015-02-23 |
| 1245632298 | Progenity Whole Health Inc. | Internal Medicine | 95 University Ave Ste 1, Des Moines, IA 50314-3120 | 2014-09-22 |
| 1417214321 | Leah Jeanine Brandon | Internal Medicine | 330 Laurel St Ste 2100, Des Moines, IA 50314-3068 | 2012-04-16 |
| 1417244542 | Rossana M Rosa Espinoza | Internal Medicine | 1221 Pleasant St Ste 300, Des Moines, IA 50309-1426 | 2011-07-10 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| 1972701050 | Abdulrahman Abdulbaki | Internal Medicine | 1215 Pleasant St Ste 414, Des Moines, IA 50309 | 2007-07-10 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
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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.