DR. PETER H PARK (NPI# 1750328860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750328860 |
Entity Type | Individual |
Full Name | DR. PETER H PARK |
Credential | MD |
Practice Address |
5701 W 119th St Suite 430 Overland Park KS 66209-3722 |
Practice Telephone | 9132533000 |
Practice Fax Number | 9136632980 |
Mailing Telephone | 9132533000 |
Mailing Fax Number | 9136632980 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2012-10-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
T-00529 | KS | Allopathic & Osteopathic Physicians |
N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
2006013533 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KS LICENSE | T-00529 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033685177 | Peter Sungil Park | Obstetrics & Gynecology | 31874 Summer Grape Ct, Winchester, CA 92596-8633 | 2018-10-16 |
1699015792 | Peter Ju Park | Radiology | 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 | 2013-02-26 |
1831296185 | Peter Joonsun Park | Emergency Medicine | 34800 Bob Wilson Dr. Naval Medical Center, Department of Emergency Medicine, San Diego, CA 92134-1110 | 2006-09-20 |
1508899915 | Peter C Park | Family Medicine | 30 Vt Route 100 S, Wilmington, VT 05363-7944 | 2006-07-09 |
1952359887 | Peter K Park | Physical Medicine & Rehabilitation | 6447 E Riverside Blvd, Suite 102, Rockford, IL 61114-4421 | 2006-05-04 |
1104825033 | Peter Sang-wook Park | Podiatrist | 1501 W Commonwealth Ave, Fullerton, CA 92833-2727 | 2005-07-21 |
1154937241 | Peter S Park | Student in an Organized Health Care Education/Training Program | 820 Memorial St Ste 1, Prosser, WA 99350-2504 | 2020-09-23 |
1437762275 | Peter Park | Pharmacist | 1713 W Springfield Ave, Champaign, IL 61821-3011 | 2020-08-30 |
1831650043 | Peter K Park | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-03-29 |
1508392176 | Peter Park | Social Worker | 4320 Diplomacy Dr, Anchorage, AK 99508-5925 | 2017-05-02 |
Street Address |
5701 W 119TH ST SUITE 430 |
City | OVERLAND PARK |
State | KS |
Zip Code | 66209-3722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265426506 | John Lewis Dunlap | Internal Medicine | 5701 W 119th St, Ste 145, Overland Park, KS 66209-3722 | 2005-09-01 |
1326585399 | Carol Barkhurst | Nurse Practitioner | 5701 W 119th St, Suite 220, Overland Park, KS 66209-3721 | 2017-01-27 |
1811356520 | Andrew Oyelere | Nurse Practitioner | 5701 W 119th St, Suite 320, Overland Park, KS 66209-3721 | 2016-02-23 |
1922466028 | Rachel Elise Hinkle | Nurse Practitioner | 5701 W 119th St, Suite 220, Overland Park, KS 66209-3721 | 2016-02-03 |
1073970455 | Michael Brenton Murff | Nurse Practitioner | 5701 W 119th St, Ste 220, Overland Park, KS 66209-3721 | 2016-01-15 |
1750783866 | Tracy Coltharp | Nurse Practitioner | 5701 W 119th St, Ste 209, Overland Park, KS 66209-3749 | 2014-09-19 |
1467878355 | Lindsay Riley | Nurse Practitioner | 5701 W 119th St, Suite 135, Overland Park, KS 66209-3721 | 2014-03-15 |
1952730590 | Mary Shoemaker | Nurse Practitioner | 5701 W 119th St, Suite 120, Overland Park, KS 66209-3721 | 2013-11-04 |
1922348069 | Kc Hospitalists, Pa | Internal Medicine | 5701 W 119th St, Suite 135, Overland Park, KS 66209-3721 | 2013-02-27 |
1922358902 | Menorah Medical Group, LLC | Orthopaedic Surgery | 5701 W 119th St, Suite 308, Overland Park, KS 66209-3721 | 2012-09-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
Find all providers in zip 66209 |
Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
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 |
---|---|---|---|---|
1568783603 | Darbhamulla Venkata Nagarajan | Internal Medicine | 3901 Rainbow Blvd # Ms 3006, Room 1001 Eaton, Kansas City, KS 66103-2937 | 2010-06-11 |
1427063239 | Naga V Garikipati | Internal Medicine | 20805 W 151st St # 400, Olathe, KS 66061-7249 | 2006-07-30 |
1467406306 | Mid-america Cardiology Associates, Inc. | Internal Medicine | 3901 Rainbow Blvd Ste G600, Kansas City, KS 66160 | 2006-05-22 |
1194377655 | Amit Shrestha | Internal Medicine | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160-8500 | 2019-07-15 |
1336496595 | Austin Med Group Inc | Internal Medicine | 345 N Riverview St, Wichita, KS 67203-4200 | 2012-08-07 |
1306151808 | Kansas Physicians Group, LLC | Internal Medicine | 2600 N Woodlawn Blvd, Wichita, KS 67220-2729 | 2010-08-10 |
1982853610 | M Obadah Al Chekakie | Internal Medicine | 9119 W 74th St, Suite 350, Shawnee Mission, KS 66204-2215 | 2008-09-18 |
1467401349 | Bajaj Electrophysiology | Internal Medicine | 3243 E Murdock St, Suite #510, Wichita, KS 67208-3052 | 2006-05-09 |
1255398673 | Cypress Heart, Pa | Internal Medicine | 9300 E 29th St N, Suite 310, Wichita, KS 67226-2182 | 2006-04-28 |
City | OVERLAND PARK |
Zip Code | 66209 |
Please comment or provide details below to improve the information on DR. PETER H 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.