DR. HENRY SOO-MIN PARK (NPI# 1730441544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730441544 |
| Entity Type | Individual |
| Full Name | DR. HENRY SOO-MIN PARK |
| Credential | M.D., M.P.H. |
| Practice Address |
35 Park St Smilow Cancer Hospital, Ll510 New Haven CT 06519-1110 |
| Practice Telephone | 2032002100 |
| Practice Fax Number | 2037854622 |
| Mailing Telephone | 2032002100 |
| Mailing Fax Number | 2037854622 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2017-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
053417 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 53417 | CT | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841328325 | Henry H Park | Acupuncturist | 5720 Buford Hwy Ste 205, Norcross, GA 30071-2574 | 2007-02-28 |
| 1881617785 | Henry Chul Park | Physical Medicine & Rehabilitation | 999 No Tustin Ave, #19, Santa Ana, CA 92705 | 2006-07-25 |
| 1083688147 | Henry Insuk Park | Dentist | 7611 Little River Tpke, Suite 106w, Annandale, VA 22003-2602 | 2006-02-15 |
| 1427219807 | Henry Park | Internal Medicine | 310 Madison Ave, Suite 300, Morristown, NJ 07960-6967 | 2008-06-19 |
| 1376572834 | Henry S. Park | Dermatology | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-06-30 |
| Street Address |
35 PARK ST SMILOW CANCER HOSPITAL, LL510 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716862 | Daniela Gidea-addeo | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2005-08-03 |
| 1356974471 | Jason Jesus Casazola | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2020-02-17 |
| 1639737034 | Beth Ann Wilson | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2019-05-31 |
| 1013575646 | Barbara Cmuchowski | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2019-05-29 |
| 1235600107 | Leesha Kay Gunnink | Physician Assistant | 35 Park St, New Haven, CT 06519-1110 | 2018-12-17 |
| 1881120723 | Jamie R Malette | Nurse Practitioner | 35 Park St, New Haven, CT 06519-1110 | 2017-05-11 |
| 1467811083 | Matthew Harrison Dodd | Physician Assistant | 35 Park St, 8th Floor, New Haven, CT 06519-1110 | 2016-02-11 |
| 1366824336 | Joy Mullins Byrne | Physician Assistant | 35 Park St, New Haven, CT 06519-1110 | 2015-06-25 |
| 1821417627 | Andrew Zhang | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2014-04-09 |
| 1376989160 | Timothy Daily Murtha | Student in an Organized Health Care Education/Training Program | 35 Park St, New Haven, CT 06519-1110 | 2013-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1326206855 | Ranjit S Bindra | Radiology | 20 York Street, Smilow Cancer Hospital, Yale New Haven, Lower Level, New Haven, CT 06510 | 2008-05-31 |
| 1306020474 | James Byunghoon Yu | Radiology | 20 York St, T-209, Yale - New Haven Hospital, New Haven, CT 06510 | 2007-12-24 |
| 1093716862 | Daniela Gidea-addeo | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2005-08-03 |
| 1760862601 | Thomas John Hayman | Radiology | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2015-06-05 |
| 1528472313 | Skyler Bryce Johnson | Radiology | 20 York St, New Haven, CT 06510-3220 | 2014-06-19 |
| 1821417627 | Andrew Zhang | Radiology | 35 Park St, New Haven, CT 06519-1110 | 2014-04-09 |
| 1730507971 | Jacqueline Kelly | Radiology | 20 York St, Ynhh Department of Therapeutic Radiology, New Haven, CT 06510-3220 | 2014-04-04 |
| 1699119628 | Sanjay Aneja | Radiology | 20 York St, Ll507, New Haven, CT 06510-3220 | 2013-04-21 |
| 1669714739 | Yi An | Radiology | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2013-03-26 |
| Find all providers in NEW HAVEN | ||||
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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.