DR. SONNY YONG PARK


Address: 1988 Kings Gate Ln, Mount Pleasant, SC 29466-8191
Phone: 8646400395

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 25559 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ STATE MEDICAL LICENSE 33329 01

Office Location

Street Address 1988 KINGS GATE LN
City MOUNT PLEASANT
State SC
Zip Code 29466-8191

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MOUNT PLEASANT
Zip Code 29466

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Dataset Information

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.

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