DR. SONNY YONG PARK (NPI# 1720071277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720071277 |
Entity Type | Individual |
Full Name | DR. SONNY YONG PARK |
Credential | MD |
Practice Address |
1988 Kings Gate Ln Mount Pleasant SC 29466-8191 |
Practice Telephone | 8646400395 |
Mailing Telephone | 8646400395 |
Enumeration Date | 2005-08-30 |
Last Update Date | 2016-03-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | 25559 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | STATE MEDICAL LICENSE | 33329 | 01 |
Street Address |
1988 KINGS GATE LN |
City | MOUNT PLEASANT |
State | SC |
Zip Code | 29466-8191 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
Find all providers in zip 29466 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932480852 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 6396 State Route 819 S, Mount Pleasant, PA 15666-3670 | 2011-09-06 |
1134237183 | Francis X Tunney | Emergency Medicine | 3074 N Highway 17, Mount Pleasant, SC 29466-9315 | 2006-08-29 |
1689698920 | Steven James Taylor | Emergency Medicine | 2094 Country Manor Dr, Mount Pleasant, SC 29466-7411 | 2006-07-27 |
1396775466 | Michael G Manske | Emergency Medicine | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2006-07-04 |
1336179399 | Timothy Barton Osbon | Emergency Medicine | 1156 Bowman Rd Unit 103, Mount Pleasant, SC 29464-3803 | 2006-07-04 |
1750311999 | Gregory E Crovetti | Emergency Medicine | 7300 Washington Ave Ste B, Mount Pleasant, WI 53406-6525 | 2006-07-04 |
1972550283 | Scott William Smith | Emergency Medicine | 990 Lake Hunter Cir Ste 101, Mount Pleasant, SC 29464-5426 | 2006-05-30 |
1225094618 | Cynthia A Blalock | Emergency Medicine | 1405 Ben Sawyer Blvd Ste 105, Mount Pleasant, SC 29464-5519 | 2006-04-25 |
1952381469 | Ronald P Hargrave | Emergency Medicine | 2701 Tybee Pass, Mount Pleasant, SC 29466-7956 | 2006-01-19 |
1982603809 | Jeffry W Misko | Emergency Medicine | 1101 Bowman Rd, Mount Pleasant, SC 29464-3213 | 2005-07-21 |
Find all providers in MOUNT PLEASANT |
City | MOUNT PLEASANT |
Zip Code | 29466 |
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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.