MIN S PARK (NPI# 1730414749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730414749 |
| Entity Type | Individual |
| Full Name | MIN S PARK |
| Credential | M.D. |
| Practice Address |
1300 Jefferson Park Ave Fl 3 Charlottesville VA 22903-3363 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 8003622203 |
| Practice Fax Number | 4349249656 |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0101262820 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467892570 | Min H Park | Acupuncturist | 33100 Pacific Hwy S Ste 1, Federal Way, WA 98003-6445 | 2013-07-03 |
| 1780938308 | Min Geon Park | Pharmacist | 2420 Wisteria Dr, Snellville, GA 30078-6127 | 2012-11-05 |
| 1982996641 | Min Park | Dentist | 270 Marin Blvd Apt 11q, Jersey City, NJ 07302-3680 | 2011-05-12 |
| 1750608451 | Min Park | Acupuncturist | 2001 Deerpark Dr Apt 610, Fullerton, CA 92831-1563 | 2010-04-21 |
| 1962495572 | Min Seuk Park | Obstetrics & Gynecology | 2681 W Olympic Blvd, Suite 220, Los Angeles, CA 90006-2810 | 2005-08-30 |
| 1861003048 | Min J Park | Pharmacist | 624 Waverley St, Framingham, MA 01702-6981 | 2020-08-12 |
| 1912537846 | Min Park | Pharmacist | 3618 Highway 138 Se, Stockbridge, GA 30281-4171 | 2020-01-20 |
| 1821515560 | Min Park | Occupational Therapist | 9975 Medical Center Dr, Rockville, MD 20850-3316 | 2017-08-24 |
| 1265863328 | Min Park | Pharmacist | 14 N Broadway, Yonkers, NY 10701-2793 | 2013-11-27 |
| 1134414881 | Min Soo Park | Internal Medicine | 620 Shadow Lane, Valley Hospital Medical Center, Las Vegas, NV 89106 | 2011-06-10 |
| Street Address |
1300 JEFFERSON PARK AVE FL 3 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609368802 | Amanda Carter | Nurse Practitioner | 1300 Jefferson Park Ave Fl 3, Charlottesville, VA 22903 | 2018-06-04 |
| 1821319682 | Avery L Buchholz | Neurological Surgery | 1300 Jefferson Park Ave Fl 3, Charlottesville, VA 22908 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871784892 | Russell C Bailey | Neurological Surgery | 1221 Lee Street Ground Floor, Charlottesville, VA 22908-0001 | 2007-08-06 |
| 1972644433 | Jaideep Kapur | Neurological Surgery | 1221 Lee Street Ground Fl, Charlottesville, VA 22908-0001 | 2007-02-09 |
| 1841388048 | Vinko V. Dolenc | Neurological Surgery | Uva Primary Care Ctr, Lee Street, Ground Floor, Charlottesville, VA 22908-0001 | 2006-10-11 |
| 1013950047 | Dennis G. Vollmer | Neurological Surgery | 415 Ray C. Hunt Dr, Charlottesville, VA 22903-0001 | 2006-06-14 |
| 1700491917 | Bruno Coelho Da Rocha Lazaro | Neurological Surgery | 200 Jeanette Lancaster Way, Charlottesville, VA 22903-3388 | 2020-09-14 |
| 1467916924 | Francesco Prada | Neurological Surgery | 4105 Lewis and Clark Dr, Charlottesville, VA 22911-5801 | 2019-01-29 |
| 1275924235 | James T. Rutka | Neurological Surgery | Lee Street Ground Floor, Charlottesville, VA 22908-0001 | 2015-02-12 |
| 1609284595 | Houssien Darwish | Neurological Surgery | 1215 Lee St, Charlottesville, VA 22908-0136 | 2014-07-24 |
| 1376805218 | Ryan Thomson Kellogg | Neurological Surgery | 1221 Lee St, Charlottesville, VA 22903 | 2012-06-15 |
| 1972861201 | Osmond Chia-liang Wu | Neurological Surgery | 500 Martha Jefferson Dr Fl 4, Charlottesville, VA 22911 | 2012-04-24 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on MIN S 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.